Organization
GRATEFUL DENTISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM DANZIG (PRESIDENT)
(978) 667-2741
Entity
Organization
Contact information
Practice address
662 BOSTON RD, BILLERICA, MA 01821-5318
(978) 667-2741
Mailing address
662 BOSTON RD, BILLERICA, MA 01821-5318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21971
MA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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