| H Ivan Orup Jr Dmd Mmsc Pc | |
|
290 Baker Avenue Suite 204 Concord MA 01742 | |
| (978) 369-3690 | |
| (978) 369-3256 |
| Full Name | H Ivan Orup Jr Dmd Mmsc Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 290 Baker Avenue Suite 204, Concord, Massachusetts |
| Authorized Official Name and Position | Hans Ivan Orup (OWNER PRESIDENT ORTHODONTIST) |
| Authorized Official Contact | 9783693690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H Ivan Orup Jr Dmd Mmsc Pc 290 Baker Avenue Suite 204 Concord MA 01742 Ph: (978) 369-3690 | H Ivan Orup Jr Dmd Mmsc Pc 290 Baker Avenue Suite 204 Concord MA 01742 Ph: (978) 369-3690 |
| NPI Number | 1871647354 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871647354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 18351 (Massachusetts) | Primary |
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