Organization
PERIODONTOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B FREEDMAN DDS (OWNER)
(978) 369-5521
Entity
Organization
Contact information
Practice address
290 BAKER AVE, S103, CONCORD, MA 01742
(978) 369-5521
(978) 369-5591
Mailing address
290 BAKER AVE, S103, CONCORD, MA 01742
(978) 369-5521
(978) 369-5591
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
13998
MA
1223P0300X
Periodontics
19000
MA
Other
Enumeration date
08/26/2006
Last updated
08/22/2020
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