Organization
42 NORTH DENTAL CARE PLLC
Active
Parent organization
42 NORTH DENTAL CARE PLLC
Other names
Restorative and Aesthetic Dental Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
42 NORTH DENTAL CARE PLLC
Authorized official
DR. MICHAEL ANGELO SCIALABBA DDS (CHIEF CLINICAL OFFICER)
(561) 512-2709
Entity
Organization
Contact information
Practice address
650 BRIGHTON AVE, PORTLAND, ME 04102-1035
(207) 773-6331
Mailing address
200 5TH AVE FL 3, WALTHAM, MA 02451-8759
(781) 647-0772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/28/2021
Last updated
05/21/2021
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