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Organization
IDG DANVERS DENTAL PC
Active
Organization
IDG DANVERS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEEJU SON (DIRECTOR)
(857) 262-5308
Entity
Organization
Contact information
Practice address
7 FEDERAL ST STE 25, DANVERS, MA 01923-3620
(978) 739-4100
Mailing address
7 FEDERAL ST STE 25, DANVERS, MA 01923-3620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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