Organization
ATLANTIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARISA SEREDKINA (OFFICE MANAGER)
(978) 587-3330
Entity
Organization
Contact information
Practice address
150 MAIN ST, 6B, PEABODY, MA 01960-5653
(978) 587-3330
Mailing address
150 MAIN ST, 6B, PEABODY, MA 01960-5653
(978) 587-3330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855454
MA
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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