Organization
ORANGE FAMILY DENTAL LLC
Active
Other names
West River Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GIAIMO (DISTRICT MANAGER)
(617) 291-2773
Entity
Organization
Contact information
Practice address
450 W RIVER ST STE 2, ORANGE, MA 01364-1440
(978) 544-2922
(978) 544-2922
Mailing address
1 MILITIA DR STE 203, LEXINGTON, MA 02421-4703
(781) 862-5958
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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