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Organization
ANDALUNA DENTAL
Active
Organization
ANDALUNA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONID SPIVAK DDS (DR)
(781) 324-6100
Entity
Organization
Contact information
Practice address
578 MAIN ST, MALDEN, MA 02148-3900
(781) 324-6100
(781) 321-3544
Mailing address
578 MAIN ST, MALDEN, MA 02148-3900
(781) 324-6100
(781) 321-3544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19332
MA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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