Individual
THALITA ANDENMATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 TOWER FARM RD, BILLERICA, MA 01821-2861
(978) 667-8292
Mailing address
194 1/2 SALEM RD, BILLERICA, MA 01821-1431
(508) 857-7508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859637
MA
Other
Enumeration date
07/07/2017
Last updated
10/06/2025
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