Organization
EVERETT CHILDRENS' DENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS THACH (OFFICE MANAGER)
(617) 389-2112
Entity
Organization
Contact information
Practice address
186 ELM ST, EVERETT, MA 02149-5222
(617) 389-2112
(617) 389-5885
Mailing address
186 ELM ST, EVERETT, MA 02149-5222
(617) 389-2112
(617) 389-5885
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19582
MA
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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