42 North Dental Care, LLC
NPI #1346519006 in South Boston, Massachusetts
Provider Information
- NPI Number
- 1346519006
- Entity Type
- Organization
- Organization Name
- 42 North Dental Care, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 42 NORTH DENTAL CARE, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 23, 2011
- Last Updated
- Jun 21, 2021
Practice Location
- Address
- 368A W BROADWAY # A
- City
- South Boston
- State
- Massachusetts
- ZIP Code
- 02127-2215
- Phone
- (617) 269-0004
Authorized Official
- Name
- DR. MICHAEL ANGELO SCIALABBA, DDS
- Title
- CHIEF CLINICAL OFFICER
- Phone
- (561) 512-2709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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