Organization
ABC PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS THACH (OFFICE MANAGER)
(617) 389-2112
Entity
Organization
Contact information
Practice address
111 FOSTER ST, PEABODY, MA 01960-8929
(617) 389-2112
Mailing address
111 FOSTER ST, PEABODY, MA 01960-8929
(617) 389-2112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19582
MA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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