Organization
NORTHERN STAR DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIN JARMOC DMD (VICE PRESIDENT)
(617) 331-9544
Entity
Organization
Contact information
Practice address
37 MAPLE ST, DANVERS, MA 01923-2851
(978) 750-9999
Mailing address
37 MAPLE ST, DANVERS, MA 01923-2851
(978) 750-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22094
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN1855540
MA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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