Organization
PREMIER DENTAL CONCEPTS OF ANDOVER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYAKI GADDIPATI (PRESIDENT)
(214) 336-9767
Entity
Organization
Contact information
Practice address
351 N MAIN ST, ANDOVER, MA 01810-2610
(978) 475-1030
Mailing address
351 N MAIN ST, ANDOVER, MA 01810-2610
(978) 475-1030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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