Organization
HAVERHILL DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH PHAM (OWNER)
(978) 875-5171
Entity
Organization
Contact information
Practice address
696 MAIN ST, HAVERHILL, MA 01830-2642
(978) 875-5171
Mailing address
696 MAIN ST, HAVERHILL, MA 01830-2642
(978) 875-5171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855283
MA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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