Organization
SVEN SUPPLIES DMD, PC
Active
Other names
Great Road Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SVEN SUPPLIES DMD (OWNER/PRESIDENT)
(978) 263-8358
Entity
Organization
Contact information
Practice address
179 GREAT RD, SUIUTE 206, ACTON, MA 01720-5777
(978) 263-8358
(978) 263-9260
Mailing address
179 GREAT RD, SUIUTE 206, ACTON, MA 01720-5777
(978) 263-8358
(978) 263-9260
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18956
MA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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