Individual
DAVID PELHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MMSC
Contact information
Practice address
300 GRANITE ST, SOUTH SHORE DENTAL GROUP, BRAINTREE, MA 02184-3909
(781) 843-7800
Mailing address
14 OVERLOOK DR, SOUTHBOROUGH, MA 01772-1218
(617) 281-5838
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20167
MA
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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