| Andaluna Dental | |
|
578 Main St Malden MA 02148-3900 | |
| (781) 324-6100 | |
| (781) 321-3544 |
| Full Name | Andaluna Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 578 Main St, Malden, Massachusetts |
| Authorized Official Name and Position | Leonid Spivak (DR) |
| Authorized Official Contact | 7813246100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andaluna Dental 578 Main St Malden MA 02148-3900 Ph: (781) 324-6100 | Andaluna Dental 578 Main St Malden MA 02148-3900 Ph: (781) 324-6100 |
| NPI Number | 1437539111 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437539111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19332 (Massachusetts) | Primary |
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