Individual
DR. MARK DAVID GOLDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
83 ELM ST, DANVERS, MA 01923-2836
(978) 774-1531
Mailing address
83 ELM ST, DANVERS, MA 01923-2836
(978) 774-1531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12672
MA
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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