| Everett Childrens' Dental Center Pc | |
|
186 Elm St Everett MA 02149-5222 | |
| (617) 389-2112 | |
| (617) 389-5885 |
| Full Name | Everett Childrens' Dental Center Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 186 Elm St, Everett, Massachusetts |
| Authorized Official Name and Position | Chris Thach (OFFICE MANAGER) |
| Authorized Official Contact | 6173892112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everett Childrens' Dental Center Pc 186 Elm St Everett MA 02149-5222 Ph: (617) 389-2112 | Everett Childrens' Dental Center Pc 186 Elm St Everett MA 02149-5222 Ph: (617) 389-2112 |
| NPI Number | 1407052830 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407052830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19582 (Massachusetts) | Primary |
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