| Generations Dental Center | |
|
75 Herrick St Suite 212 Beverly MA 01915-5903 | |
| (978) 921-7575 | |
| Not Available |
| Full Name | Generations Dental Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 75 Herrick St, Beverly, Massachusetts |
| Authorized Official Name and Position | Melina Amy Ilief-ala (PRESIDENT) |
| Authorized Official Contact | 7818598677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Dental Center 75 Herrick St Suite 212 Beverly MA 01915-5903 Ph: (978) 921-7575 | Generations Dental Center 75 Herrick St Suite 212 Beverly MA 01915-5903 Ph: (978) 921-7575 |
| NPI Number | 1053608083 |
|---|---|
| Provider Enumeration Date | 06/28/2011 |
| Last Update Date | 06/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053608083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN21806 (Massachusetts) | Primary |
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