| Mgh Dental Group - Danvers | |
|
104 Endicott St Suite 101 Danvers MA 01923-3623 | |
| (978) 882-6600 | |
| (978) 882-6677 |
| Full Name | Mgh Dental Group - Danvers |
|---|---|
| Speciality | Dentist |
| Location | 104 Endicott St, Danvers, Massachusetts |
| Authorized Official Name and Position | Agnes Lau (CHIEF, MGH DIVISION OF DENTISTRY) |
| Authorized Official Contact | 6177261076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgh Dental Group - Danvers 104 Endicott St Suite 101 Danvers MA 01923-3623 Ph: (978) 882-6600 | Mgh Dental Group - Danvers 104 Endicott St Suite 101 Danvers MA 01923-3623 Ph: (978) 882-6600 |
| NPI Number | 1396062246 |
|---|---|
| Provider Enumeration Date | 04/30/2010 |
| Last Update Date | 04/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396062246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16139 (Massachusetts) | Primary |
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