Organization
CAPE ANN DENTAL GROUP, PC
Active
Other names
Harbor Cove Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ANDREW VAILLANCOURT DMD (PRESIDENT)
(978) 865-3360
Entity
Organization
Contact information
Practice address
123 MAIN ST STE 2, GLOUCESTER, MA 01930-5766
(978) 865-3360
Mailing address
123 MAIN ST STE 2, GLOUCESTER, MA 01930-5766
(978) 865-3360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/23/2022
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