Organization
ROBILLARD DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DOUGLAS ROBIULLARD DMD (MEMBER)
(617) 359-3427
Entity
Organization
Contact information
Practice address
19 HAMMATT ST, IPSWICH, MA 01938-1930
(978) 356-3922
Mailing address
68 EMILY LN, ROWLEY, MA 01969-2235
(617) 359-3427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21339
MA
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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