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Organization
ORANGE FAMILY DENTAL LLC
Active
Organization
ORANGE FAMILY DENTAL LLC
Active
Other names
West River Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GIAIMO (DISTRICT MANAGER)
(617) 291-2773
Entity
Organization
Contact information
Practice address
450 W RIVER ST STE 2, ORANGE, MA 01364-1440
(978) 544-2922
(978) 544-2922
Mailing address
1 MILITIA DR STE 203, LEXINGTON, MA 02421-4703
(781) 862-5958
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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