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Organization

RICHARD F TRAVERSY JR. DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD F TRAVERSY JR. DDS (OWNER)
(978) 532-1630
Entity
Organization

Contact information

Practice address
125 MAIN ST, PEABODY, MA 01960-5639
(978) 532-1630
(978) 532-5188
Mailing address
125 MAIN ST, PEABODY, MA 01960-5639
(978) 532-1630
(978) 532-5188

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16967
MA

Other

Enumeration date
12/11/2015
Last updated
12/11/2015
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