Organization
MERRIMACK VALLEY COSMETIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID NICHOLAS BARDWELL DMD, MS (SOLE TRUSTEE)
(978) 683-8855
Entity
Organization
Contact information
Practice address
565 TURNPIKE ST, 63A, NORTH ANDOVER, MA 01845-5922
(978) 683-8855
(978) 738-9687
Mailing address
565 TURNPIKE ST, 63A, NORTH ANDOVER, MA 01845-5922
(978) 683-8855
(978) 738-9687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16194
MA
1223G0001X
General Practice Dentistry
Primary
16194
MA
Other
Enumeration date
12/05/2012
Last updated
03/07/2017
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