Individual
DR. ALAN ROY ZICHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 ROOSEVELT AVE, PEABODY, MA 01960-2200
(978) 535-2500
Mailing address
1 ROOSEVELT AVE., PEABODY, MA 01960
(978) 535-2500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12800
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246182
—
MA
Enumeration date
02/20/2008
Last updated
02/20/2008
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