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Organization
AMESBURY ORTHODONTICS LLC
Active
Organization
AMESBURY ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD BEAUDOIN D.M.D. (MANAGER)
(978) 270-0390
Entity
Organization
Contact information
Practice address
194R MAIN ST., UNIT 1, AMESBURY, MA 01913
(978) 834-6695
(978) 834-6945
Mailing address
194R MAIN ST., UNIT 1, AMESBURY, MA 01913
(978) 834-6695
(978) 834-6945
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856415
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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