Organization
HARBORSIDE DENTAL
Active
Other names
no
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY ZEMLYANSKY D.M.D (DENTIST)
(978) 546-3821
Entity
Organization
Contact information
Practice address
127 EASTERN AVE, GLOUCESTER, MA 01930-1802
(978) 546-3821
(978) 546-3821
Mailing address
127 EASTERN AVE, GLOUCESTER, MA 01930-1802
(978) 546-3821
(978) 546-3821
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V05039
BLUE CROSS AND BLUE SHIELD
MA
Enumeration date
06/12/2008
Last updated
06/12/2008
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