Individual
PRISCILLA KELLEY MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
495 CABOT ST, BEVERLY, MA 01915-2515
(978) 927-0324
Mailing address
4 HARRINGTON WAY, MANCHESTER, MA 01944-1010
(978) 500-2995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20942
MA
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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