Organization
MELISSA M THOMPSON DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHIYA BATTLE (PROVIDER ENROLLMENT MANAGER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
3 ELM ST, WOBURN, MA 01801-1813
(781) 932-1114
(781) 376-1593
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 454-5549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21101
MA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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