Organization
HAVERHILL PRIME DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATUL BANSAL (MANAGER)
(978) 912-0900
Entity
Organization
Contact information
Practice address
126 MAIN ST, HAVERHILL, MA 01830
(617) 595-2916
Mailing address
126 MAIN ST, HAVERHILL, MA 01830-5048
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
10/29/2022
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