Jfs2dmd99pc

NPI #1316444540 in Ipswich, Massachusetts

Provider Information

NPI Number: 1316444540
Entity Type: Organization
Organization Name: Jfs2dmd99pc
Primary Specialty: Dentist
Enumeration Date: Apr 13, 2018
Last Updated: Aug 17, 2018

Practice Location

Address: 130 COUNTY RD
City: Ipswich
State: Massachusetts
ZIP Code: 01938-2550
Phone: (978) 356-0602

Authorized Official

Name: DR. JAMES F SORRENTO II, DMD
Title: OWNER/PRESIDENT
Phone: (978) 356-0602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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