Organization
BROADWAY DENTAL
Active
Parent organization
EUGENE BARK DMD AND ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EUGENE BARK DMD AND ASSOCIATES
Authorized official
EUGENE BARK (DENTIST)
(781) 284-2275
Entity
Organization
Contact information
Practice address
144 BROADWAY, REVERE, MA 02151-5349
(781) 284-2275
Mailing address
144 BROADWAY, REVERE, MA 02151-5349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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