Organization
WATER STREET FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX FAIGEL (MANAGER)
(617) 823-2111
Entity
Organization
Contact information
Practice address
2 WATER ST, HAVERHILL, MA 01830-6229
(978) 372-1999
(978) 372-1988
Mailing address
2 WATER ST, HAVERHILL, MA 01830-6229
(978) 372-1999
(978) 372-1988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20485
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203980
—
MA
Enumeration date
03/28/2008
Last updated
03/28/2008
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