Organization
PEMBERTON DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PAMELA MARTINEZ (BUSINESS MANAGER)
(857) 413-1187
Entity
Organization
Contact information
Practice address
100 AMESBURY ST STE 207, LAWRENCE, MA 01840-1321
(978) 687-7811
Mailing address
215 NEWBURY ST STE 201, PEABODY, MA 01960-2400
(978) 535-3800
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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