Organization
R.A.SHORT & R.A. SCHNELL D.M.D.
Active
Other names
The Classic Smile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A SHORT D.M.D. (PARTNER)
(781) 396-4131
Entity
Organization
Contact information
Practice address
92 HIGH ST, SUITE 12, MEDFORD, MA 02155-3850
(761) 396-4131
(781) 396-2064
Mailing address
92 HIGH ST, SUITE 12, MEDFORD, MA 02155-3850
(761) 396-4131
(781) 396-2064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15145
MA
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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