Dental Bright Advanced Family Dentistry | |
488 Essex St Lawrence MA 01840 | |
(978) 975-8888 | |
(978) 291-0097 |
Full Name | Dental Bright Advanced Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 488 Essex St, Lawrence, Massachusetts |
Authorized Official Name and Position | Dario Gonzalez (VICE PRESIDENT/PERIODONTIST) |
Authorized Official Contact | 6175196199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Bright Advanced Family Dentistry 488 Essex Street Lawrence MA 01840 Ph: (978) 975-8888 | Dental Bright Advanced Family Dentistry 488 Essex St Lawrence MA 01840 Ph: (978) 975-8888 |
NPI Number | 1831416767 |
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Provider Enumeration Date | 05/03/2010 |
Last Update Date | 05/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831416767 | NPI | - | NPPES |
221597 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN22028 (Massachusetts) | Primary |
1223P0300X | Dentist - Periodontics | DN22028 (Massachusetts) | Secondary |
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