| Conant Street Dental Llc | |
|
36 Conant St Ste 4 Danvers MA 01923-2954 | |
| (978) 774-3331 | |
| (978) 774-3331 |
| Full Name | Conant Street Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 36 Conant St Ste 4, Danvers, Massachusetts |
| Authorized Official Name and Position | Seunghee Song (DENTIST) |
| Authorized Official Contact | 9787743331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conant Street Dental Llc 36 Conant St Ste 4 Danvers MA 01923-2954 Ph: (978) 774-3331 | Conant Street Dental Llc 36 Conant St Ste 4 Danvers MA 01923-2954 Ph: (978) 774-3331 |
| NPI Number | 1710382676 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710382676 | NPI | - | NPPES |
| 1871741983 | Other | MA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN22272 (Massachusetts) | Primary |
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