Organization
ANDOVER PERIODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DONA DMD (PRESIDENT)
(978) 475-0567
Entity
Organization
Contact information
Practice address
2 STEVENS ST, ANDOVER, MA 01810-6516
(978) 475-0567
(978) 475-7169
Mailing address
2 STEVENS ST, ANDOVER, MA 01810-6516
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1855971
MA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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