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Organization

CONCORDDENTAL IMPLANTS &PERIODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK Y. WANG DMD (PRESIDENT)
(978) 369-4611
Entity
Organization

Contact information

Practice address
290 BAKER AVE, S205, CONCORD, MA 01742-2189
(978) 369-4611
(978) 369-4622
Mailing address
290 BAKER AVE, SUITE205, CONCORD, MA 01742-2189
(978) 369-4611
(978) 369-4622

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18710
MA

Other

Enumeration date
06/08/2010
Last updated
06/08/2010
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