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Organization
INFANTE & GOMEZ PC
Active
Organization
INFANTE & GOMEZ PC
Active
Other names
GLAD Specialized Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO J INFANTE DMD (P)
(617) 645-3286
Entity
Organization
Contact information
Practice address
29 HUDSON RD, 3220, SUDBURY, MA 01776-1747
(978) 443-4545
Mailing address
29 HUDSON RD, 3220, SUDBURY, MA 01776-1747
(978) 443-4545
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DN21546
MA
1223P0700X
Prosthodontics
Primary
DN21117
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124249826
—
MA
05
—
1942414263
—
MA
Enumeration date
08/22/2011
Last updated
04/13/2017
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