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Organization

PEABODY DENTAL SPA, PLLC

Active
Other names
PEABODY SMILE DESIGN
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DHARA SHAH DMD (OWNER)
(517) 316-6314
Entity
Organization

Contact information

Practice address
124 NEWBURY ST UNIT D, PEABODY, MA 01960-4066
(517) 316-6314
Mailing address
124 NEWBURY ST STE D, PEABODY, MA 01960-4067
(978) 278-5478

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
261QD0000X
Dental Clinic/Center

Other

Enumeration date
11/28/2017
Last updated
04/24/2023
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