Organization
42 NORTH DENTAL CARE, LLC
Active
Parent organization
42 NORTH DENTAL CARE, LLC
Other names
Gentle Dental - East Longmeadow
Organization subpart
Yes
Provider details
NPI number
Legal business name
42 NORTH DENTAL CARE, LLC
Authorized official
MICHAEL ANGELO SCIALABBA DDS (CHIEF CLINICAL OFFICER)
(561) 512-2709
Entity
Organization
Contact information
Practice address
448 N MAIN ST, EAST LONGMEADOW, MA 01028-1861
(413) 224-8950
Mailing address
PO BOX 411381, BOSTON, MA 02241-1381
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DENTAL
DENTAL
MA
Enumeration date
01/31/2023
Last updated
01/31/2023
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