Organization
CRESCENT DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J MCNEIL D.D.S. (OWNER/SOLE MEMBER)
(781) 245-1593
Entity
Organization
Contact information
Practice address
10 CRESCENT ST, WAKEFIELD, MA 01880-2413
(781) 245-1593
Mailing address
10 CRESCENT ST, P.O. BOX 314, WAKEFIELD, MA 01880-2413
(781) 245-1593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14577
MA
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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