Organization
MDSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY H WAINWRIGHT D.M.D. (MEMBER)
(978) 685-2471
Entity
Organization
Contact information
Practice address
380 MERRIMACK ST, SUITE 3A, METHUEN, MA 01844-5870
(978) 685-2471
(978) 683-3985
Mailing address
380 MERRIMACK ST, SUITE 3A, METHUEN, MA 01844-5870
(978) 685-2471
(978) 683-3985
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN16836
MA
1223P0300X
Periodontics
Primary
DN20469
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
16114
MA
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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