Organization
CRYSTAL LAKE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CSILLA GYURKO D.M.D (OWNER)
(781) 245-6966
Entity
Organization
Contact information
Practice address
725 MAIN ST, WAKEFIELD, MA 01880-5206
(781) 245-6966
(781) 245-7403
Mailing address
725 MAIN ST, WAKEFIELD, MA 01880-5206
(781) 245-6966
(781) 245-7403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20641
MA
Other
Enumeration date
04/02/2008
Last updated
06/15/2008
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