Organization
MARSHALL A STORM DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL A STORM DDS (OWNER)
(508) 668-1766
Entity
Organization
Contact information
Practice address
841 MAIN ST, WALPOLE, MA 02081-2997
(508) 668-1766
(508) 668-0308
Mailing address
841 MAIN ST, WALPOLE, MA 02081-2997
(508) 668-1766
(508) 668-0308
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18896
MA
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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