Organization
CONCORD CHILDREN'S DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK Y WANG (PRESIDENT)
(978) 369-6248
Entity
Organization
Contact information
Practice address
290 BAKER AVE STE S200, CONCORD, MA 01742-2191
(978) 369-6248
Mailing address
290 BAKER AVE STE S200, CONCORD, MA 01742-2191
(978) 369-6248
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18977
MA
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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