Organization
MY DENTAL TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE HUGHES (MANAGER)
(617) 387-1120
Entity
Organization
Contact information
Practice address
505 BROADWAY, EVERETT, MA 02149-3603
(617) 387-1120
Mailing address
505 BROADWAY, EVERETT, MA 02149-3603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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