Organization
ALLIANCE DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FOURNIER (CEO)
(617) 426-5878
Entity
Organization
Contact information
Practice address
111 WASHINGTON ST STE 301, QUINCY, MA 02169-5354
(617) 984-5300
(617) 481-0905
Mailing address
PO BOX 4114, PEABODY, MA 01961-4114
(617) 426-5878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
01/05/2021
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