Organization
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION
Active
Parent organization
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION DBA MGH DENTAL GROUP
Other names
MGH Dental Group - Danvers
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION DBA MGH DENTAL GROUP
Authorized official
DR. AGNES LAU DMD (CHIEF, MGH DIVISION OF DENTISTRY)
(617) 726-1076
Entity
Organization
Contact information
Practice address
104 ENDICOTT ST, SUITE 101, DANVERS, MA 01923-3623
(978) 882-6600
(978) 882-6677
Mailing address
104 ENDICOTT ST, SUITE 101, DANVERS, MA 01923-3623
(978) 882-6600
(978) 882-6677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16139
MA
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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