Organization
BRUNSWICK DENTAL GROUP LLC
Active
Other names
middle Bay Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GIAIAMO (DISTRICT MANAGER)
(617) 291-2773
Entity
Organization
Contact information
Practice address
16 CENTER ST, BRUNSWICK, ME 04011-1504
(207) 729-3571
Mailing address
1 MILITIA DR, LEXINGTON, MA 02421-4704
(617) 291-2773
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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