Individual
DR. SCOTT IRA GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17 BRIDGE ST., SUITE 204, BILLERICA, MA 01821
(978) 663-3476
(978) 663-2537
Mailing address
17 BRIDGE ST., SUITE 204, BILLERICA, MA 01821
(978) 663-3476
(978) 663-2537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19610
MA
1223G0001X
General Practice Dentistry
19610
MA
Other
Enumeration date
01/01/2007
Last updated
01/17/2019
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