| Drs. Park, Perlman & Koidin | |
|
77 Broad St Lynn MA 01902-5003 | |
| (781) 599-2900 | |
| Not Available |
| Full Name | Drs. Park, Perlman & Koidin |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 77 Broad St, Lynn, Massachusetts |
| Authorized Official Name and Position | Hubert J Park (PRESIDENT) |
| Authorized Official Contact | 6178956700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Park, Perlman & Koidin 9 Montague St Unit C Cambridge MA 02139-3721 Ph: () - | Drs. Park, Perlman & Koidin 77 Broad St Lynn MA 01902-5003 Ph: (781) 599-2900 |
| NPI Number | 1619404852 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 05/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619404852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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