Organization
NORTH SHORE PEDIATRIC DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA CAMPANELLA D.M.D. (DENTIST)
(978) 236-1188
Entity
Organization
Contact information
Practice address
900 CUMMINGS CTR, SUITE 116-T, BEVERLY, MA 01915-6198
(978) 236-1188
Mailing address
900 CUMMINGS CTR, SUITE 116-T, BEVERLY, MA 01915-6198
(978) 236-1188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19450
MA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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