Organization
JOHN A. PAVLO DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. PAVLO DMD (OWNER)
(978) 535-5353
Entity
Organization
Contact information
Practice address
215 NEWBURY ST, SUITE 101, PEABODY, MA 01960-2414
(978) 535-5353
Mailing address
215 NEWBURY ST, SUITE 101, PEABODY, MA 01960-2414
(978) 535-5353
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19473
MA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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