Organization
ADVANCED DENTAL PROFESSIONALS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL L DAVIS (PRESIDENT)
(978) 258-3252
Entity
Organization
Contact information
Practice address
413 BROADWAY, STE 101, METHUEN, MA 01844
(978) 258-3252
Mailing address
413 BROADWAY STE101, METHUEN, MA 01844
(978) 258-3252
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16356
MA
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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