Individual
DR. RONALD MAGEMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
175 CONNORS ST, GARDNER, MA 01440-2637
(978) 410-6100
Mailing address
24 DEERING AVE, LEXINGTON, MA 02421-7523
(781) 862-2373
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DL11464
MA
Other
Enumeration date
04/13/2010
Last updated
05/07/2012
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