Organization
SPROUT KIDS DENTISTRY OF QUINCY, LLC
Active
Other names
Sprout Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ANDERSON DMD (OWNER/ DENTIST)
(617) 947-6557
Entity
Organization
Contact information
Practice address
1250 HANCOCK ST STE 110N-B, QUINCY, MA 02169-4339
(617) 947-6557
Mailing address
1250 HANCOCK ST STE 110N-B, QUINCY, MA 02169-4339
(617) 947-6557
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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