Organization
DR DENTAL
Active
Other names
Water Street family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LOPEZ- CASADO (REGIONAL MANAGER)
(978) 372-1999
Entity
Organization
Contact information
Practice address
2 WATER ST, HAVERHILL, MA 01830-6229
(978) 372-1999
Mailing address
2 WATER ST, HAVERHILL, MA 01830-6229
(978) 372-1999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857078
MA
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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