Organization
DR.ERIC GHEEWALLA
Active
Other names
The Medford Center for Orthodontics and Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DANIJELA MEHIC (OFFICE MANAGER)
(781) 396-1980
Entity
Organization
Contact information
Practice address
82 FOREST ST, MEDFORD, MA 02155-3105
(781) 396-1980
(781) 396-4224
Mailing address
82 FOREST ST, MEDFORD, MA 02155-3105
(781) 396-1980
(781) 396-4224
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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