Organization
DAVIS SQUARE DENTAL SPECIALISTS
Active
Parent organization
DAVIS SQUARE DENTAL SPECIALISTS
Other names
T Station Dental of Lynn
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVIS SQUARE DENTAL SPECIALISTS
Authorized official
JULIANA MASIELLO (CORPORATE MANAGER)
(617) 591-9999
Entity
Organization
Contact information
Practice address
441 CHATHAM ST, LYNN, MA 01902-2139
(781) 599-1177
Mailing address
30 COLLEGE AVE, SOMERVILLE, MA 02144-1914
(617) 591-9999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
06/11/2019
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