Organization
GENERATIONS DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINA AMY ILIEF-ALA DMD (PRESIDENT)
(781) 859-8677
Entity
Organization
Contact information
Practice address
75 HERRICK ST, SUITE 212, BEVERLY, MA 01915-5903
(978) 921-7575
Mailing address
75 HERRICK ST, SUITE 212, BEVERLY, MA 01915-5903
(978) 921-7575
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN21806
MA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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