| Mass Bay Dental Pc | |
|
226 Essex St Salem MA 01970-3705 | |
| (978) 744-2480 | |
| Not Available |
| Full Name | Mass Bay Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 226 Essex St, Salem, Massachusetts |
| Authorized Official Name and Position | Gueorgui Ivanov (DENTIST) |
| Authorized Official Contact | 6179741270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mass Bay Dental Pc 226 Essex St Salem MA 01970-3705 Ph: (978) 744-2480 | Mass Bay Dental Pc 226 Essex St Salem MA 01970-3705 Ph: (978) 744-2480 |
| NPI Number | 1518253822 |
|---|---|
| Provider Enumeration Date | 06/24/2011 |
| Last Update Date | 06/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518253822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21093 (Massachusetts) | Primary |
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