Organization
GREAT HILL DENTAL PARTNERS, LLC
Active
Parent organization
GREAT HILL DENTAL PARTNERS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT HILL DENTAL PARTNERS, LLC
Authorized official
DR. MICHAEL ANGELO SCIALABBA DDS (CHIEF CLINICAL OFFICER)
(561) 512-2709
Entity
Organization
Contact information
Practice address
20 HOLLAND ST STE 400, SOMERVILLE, MA 02144-2749
(617) 629-6080
Mailing address
200 5TH AVE FL 3, WALTHAM, MA 02451-8759
(781) 790-0506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/07/2011
Last updated
05/21/2021
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