Individual
MAX M ENKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 ESSEX AVE, GLOUCESTER, MA 01930-4927
(978) 283-9020
(978) 283-6251
Mailing address
1 ESSEX AVE, GLOUCESTER, MA 01930-4927
(978) 283-9020
(978) 283-6251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856952
MA
Other
Enumeration date
07/08/2015
Last updated
08/10/2021
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