Organization
HANOVER ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENIC ANTHONY MAZZOCCO D.M.D. (DENTIST)
(781) 826-3900
Entity
Organization
Contact information
Practice address
235 HANOVER ST, HANOVER, MA 02339-2208
(781) 826-3900
Mailing address
235 HANOVER ST, HANOVER, MA 02339-2208
(781) 826-3900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17519
MA
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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