Organization
CHIROPRACTIC HEALTH GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN LEE DODES D.C. (PRESIDENT)
(781) 575-0100
Entity
Organization
Contact information
Practice address
95 WASHINGTON ST, SUITE 416, CANTON, MA 02021-4006
(781) 575-0100
(781) 821-9964
Mailing address
95 WASHINGTON ST, SUITE 416, CANTON, MA 02021-4006
(781) 575-0100
(781) 821-9964
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1871MA
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612569
TUFTS GROUP
MA
01
—
Y39167
BLUE CROSS GROUP
MA
Enumeration date
01/22/2007
Last updated
08/22/2020
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