| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8 Traders Way, Salem, Massachusetts |
| Authorized Official Name and Position | Anu Isaac (DENTIST) |
| Authorized Official Contact | 9785367007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6 Pond View Rd Peabody MA 01960-3637 Ph: (978) 536-7007 | 8 Traders Way Salem MA 01970-1866 Ph: (978) 536-7007 |
| NPI Number | 1609028570 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 10/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609028570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | A20347 (Massachusetts) | Primary |
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