Organization
CHILDRENS DENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LEE HERSCHLAG DMD (PRESIDENT)
(781) 341-0030
Entity
Organization
Contact information
Practice address
966 PARK ST # C, STOUGHTON, MA 02072-3650
(781) 341-0030
(781) 341-1166
Mailing address
966 PARK ST # C, STOUGHTON, MA 02072-3650
(781) 341-0030
(781) 341-1166
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16804
MA
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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