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Organization

CHARLES G ST JOHN DMD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES GUERIN ST JOHN DMD (PRESIDENT)
(413) 684-1240
Entity
Organization

Contact information

Practice address
251 MAIN ST, DALTON, MA 01226-1642
(413) 684-1240
(413) 684-8925
Mailing address
251 MAIN ST, DALTON, MA 01226-1642
(413) 684-1240
(413) 684-8925

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13458
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X10161
BC/BS
MA
Enumeration date
02/20/2008
Last updated
02/20/2008
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