Organization
42 NORTH DENTAL ORAL SURGERY OF MA, PLLC
Active
Parent organization
42 NORTH DENTAL ORAL SURGERY OF MA, PLLC
Other names
South Shore Oral Surgery Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
42 NORTH DENTAL ORAL SURGERY OF MA, PLLC
Authorized official
MICHAEL ANGELO SCIALABBA (CHEIF CLINICAL OFFICER)
(561) 512-2709
Entity
Organization
Contact information
Practice address
270 QUINCY AVE, QUINCY, MA 02169-8127
(617) 773-9500
Mailing address
270 QUINCY AVE, QUINCY, MA 02169-8127
(617) 773-9500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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