Organization
KENNETH H TITEL DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH HARVEY TITEL DMD (OWNER)
(978) 536-7909
Entity
Organization
Contact information
Practice address
101 BROOKSBY VILLAGE DR, PEABODY, MA 01960-1448
(978) 536-7909
(978) 536-7911
Mailing address
101 BROOKSBY VILLAGE DR, PEABODY, MA 01960
(978) 536-7909
(978) 536-7911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
MA18572
MA
1223G0001X
General Practice Dentistry
Primary
MA18572
MA
Other
Enumeration date
06/01/2007
Last updated
07/08/2008
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