Organization
DB PRACTICE MANAGEMENT, INC
Active
Other names
Dental Bright Advanced Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIO GONZALEZ DMD (VICE PRESIDENT/PERIODONTIST)
(617) 519-6199
Entity
Organization
Contact information
Practice address
488 ESSEX ST, LAWRENCE, MA 01840
(978) 975-8888
(978) 291-0097
Mailing address
488 ESSEX STREET, LAWRENCE, MA 01840
(978) 975-8888
(978) 291-0097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22028
MA
1223P0300X
Periodontics
DN22028
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221597
—
MA
Enumeration date
05/03/2010
Last updated
05/03/2010
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