Organization
STUART G MERLE & ALAN ZICHERMAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN ROY ZICHERMAN D.D.S (PRESIDENT)
(978) 535-2500
Entity
Organization
Contact information
Practice address
225 BOSTON ST, LYNN, MA 01904-3137
(781) 581-7798
Mailing address
225 BOSTON ST, LYNN, MA 01904-3137
(781) 581-7798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21042
MA
1223P0221X
Pediatric Dentistry
Primary
12783
MA
1223P0221X
Pediatric Dentistry
12800
MA
1223P0221X
Pediatric Dentistry
20795
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
19984
MA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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