Organization
CHILDREN'S DENTAL ASSOCIATES
Active
Parent organization
CHILDREN'S DENTAL ASSOCIATES (MEDFORD)
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S DENTAL ASSOCIATES (MEDFORD)
Authorized official
DR. ROBERT FRANK DMD (PRESIDENT)
(781) 391-8300
Entity
Organization
Contact information
Practice address
80 HIGH ST, MEDFORD, MA 02155-3872
(781) 391-8300
Mailing address
80 HIGH STREET, MEDFORD, MA 02155
(781) 391-8300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9729372
—
MA
Enumeration date
11/10/2009
Last updated
11/10/2009
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