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Individual

DR. JOHN MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1 KNEELAND ST TUSDM, PROSTHODONTICS & OPERATIVE DENTISTRY DEPARTMENT, BOSTON, MA 02111-0000
(617) 636-2914
Mailing address
136 SUDBURY ROAD, CONCORD CENTER DENTAL LLC, CONCORD, MA 01742
(978) 369-5700

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857208
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689841884
NPI
MA
Enumeration date
05/15/2008
Last updated
08/10/2016
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