Individual
DR. CHRISTOPHER JOHN MCCORMACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
635 SALEM ST, MALDEN, MA 02148-4301
(781) 321-2311
Mailing address
58 WORTH ST, MELROSE, MA 02176-6326
(781) 775-5189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858340
MA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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