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Organization
BEVERLY FARMS DENTAL PLLC
Active
Organization
BEVERLY FARMS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW LUCCIO (MANAGER)
(617) 291-6007
Entity
Organization
Contact information
Practice address
50 WEST ST, BEVERLY, MA 01915-2228
(617) 291-6007
Mailing address
772 E 4TH ST UNIT 4, BOSTON, MA 02127-3241
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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