Organization
SALEM PEDIATRIC DENTAL & ORTHODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GOULD (OWNER)
(978) 745-7363
Entity
Organization
Contact information
Practice address
116 HIGHLAND AVE, SALEM, MA 01970-2723
(978) 745-7363
(978) 745-8470
Mailing address
116 HIGHLAND AVE, SALEM, MA 01970-2723
(978) 745-7363
(978) 745-8470
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20954
MA
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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