Individual
LINDA MARIE SLOCUM VASSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
693 PLAIN STREET, MARSHFIELD, MA 02050
(781) 837-1709
(781) 837-3481
Mailing address
55 WOODS ROAD, NORWELL, MA 02061
(781) 659-3303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18544
MA
Other
Enumeration date
08/21/2006
Last updated
09/26/2007
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