Organization
MASS BAY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUEORGUI IVANOV DMD (DENTIST)
(617) 974-1270
Entity
Organization
Contact information
Practice address
226 ESSEX ST, SALEM, MA 01970-3705
(978) 744-2480
Mailing address
226 ESSEX ST, SALEM, MA 01970-3705
(978) 744-2480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21093
MA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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