Organization
GERRY J.CASAZZA, D.M.D, F.A.G.D. & ASSCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERRY J CASAZZA D.M.D. (OWNER)
(781) 245-7650
Entity
Organization
Contact information
Practice address
968 MAIN ST, WAKEFIELD, MA 01880-3989
(781) 245-7650
(781) 245-7259
Mailing address
968 MAIN ST, WAKEFIELD, MA 01880-3989
(781) 245-7650
(781) 245-7259
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17940
MA
Other
Enumeration date
02/21/2008
Last updated
06/22/2011
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