Organization
RADIANT FAMILY DENTAL OF BURLINGTON PLLC
Active
Other names
Radiant Family Dental of Burlington
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
279 CAMBRIDGE ST STE 3, BURLINGTON, MA 01803-2548
(781) 272-3340
Mailing address
279 CAMBRIDGE ST STE 3, BURLINGTON, MA 01803-2548
(781) 272-3340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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