| Salem Ped Dent & Orth Assn | |
|
116 Highland Ave Salem MA 01970 | |
| (978) 745-7363 | |
| (978) 745-8470 |
| Full Name | Salem Ped Dent & Orth Assn |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 116 Highland Ave, Salem, Massachusetts |
| Authorized Official Name and Position | Stuart S Gould (DENTIST) |
| Authorized Official Contact | 9787457363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Ped Dent & Orth Assn 116 Highland Ave Salem MA 01970 Ph: (978) 745-7363 | Salem Ped Dent & Orth Assn 116 Highland Ave Salem MA 01970 Ph: (978) 745-7363 |
| NPI Number | 1245410174 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245410174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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