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Organization

PERICO, PC

Active
Parent organization
PERICO PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PERICO PC
Authorized official
NANCY M. GRIFFIN (PRACTICE ADMINISTRATOR)
(781) 596-2220
Entity
Organization

Contact information

Practice address
300 BOYLSTON ST., SUITE 202, CHESTNUT HILL, MA 02467
(617) 340-6097
Mailing address
90 HUMPHREY ST., SWAMPSCOTT, MA 01907-2542
(781) 596-2220

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
11/23/2021
Last updated
11/23/2021
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