Organization
WINCHESTER PERIODONTICS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN ARDOLINO (RECEPTIONIST)
(781) 729-9390
Entity
Organization
Contact information
Practice address
955 MAIN ST, SUITE 203, WINCHESTER, MA 01890-1961
(781) 729-9390
Mailing address
955 MAIN ST, SUITE 203, WINCHESTER, MA 01890-1961
(781) 729-9390
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19240
FM
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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