Organization
42 NORTH DENTAL CARE, LLC
Active
Parent organization
42 NORTH DENTAL CARE, LLC
Other names
The Center for Pediatric Dental Care and Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
42 NORTH DENTAL CARE, LLC
Authorized official
DR. MICHAEL ANGELO SCIALABBA DDS (CHIEF CLINICAL OFFICER)
(561) 512-2709
Entity
Organization
Contact information
Practice address
209 HARVARD ST, BROOKLINE, MA 02446-5071
(617) 731-5437
(617) 651-8400
Mailing address
200 5TH AVE FL 3, WALTHAM, MA 02451-8759
(781) 647-0772
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
06/21/2021
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