Organization
PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEALE I. ECKSTEIN D.D.S. (DENTIST)
(978) 369-7771
Entity
Organization
Contact information
Practice address
290 BAKER AVE, STE. 228NORTH, CONCORD, MA 01742-2189
(978) 369-7771
(978) 371-2031
Mailing address
290 BAKER AVE, STE. 228NORTH, CONCORD, MA 01742-2189
(978) 369-7771
(978) 371-2031
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13469
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0296287
—
MA
Enumeration date
12/29/2005
Last updated
08/22/2020
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