Organization
BARRY J AGRANAT DMP PC
Active
Parent organization
BARRY J AGRANAT DMP PC
Other names
Dr Barry J Agranat
Organization subpart
Yes
Provider details
NPI number
Legal business name
BARRY J AGRANAT DMP PC
Authorized official
DR. BARRY J AGRANAT DMD (OWNER)
(617) 924-0910
Entity
Organization
Contact information
Practice address
106 MOUNT AUBURN ST, WATERTOWN, MA 02472-3931
(617) 924-0910
(617) 926-6739
Mailing address
106 MOUNT AUBURN ST, WATERTOWN, MA 02472-3931
(617) 924-0910
(617) 926-6739
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9699
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16166
HARVARD PILGRIM HEALTH
MA
01
—
X10650
BLUE CROSS SHIELD
MA
Enumeration date
12/27/2005
Last updated
07/02/2008
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