Individual
DR. EUGENE A. MICKEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
67 MONTVALE AVE, SUITE 101, STONEHAM, MA 02180-3618
(781) 279-2400
(781) 279-4640
Mailing address
67 MONTVALE AVE, SUITE 101, STONEHAM, MA 02180-3618
(781) 279-2400
(781) 279-4640
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14275
MA
Other
Enumeration date
07/01/2005
Last updated
07/08/2007
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