42 North Dental Care, LLC
NPI #1356040190 in Hanover, Massachusetts
Provider Information
- NPI Number
- 1356040190
- 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
- Mar 1, 2023
- Last Updated
- Mar 1, 2023
Practice Location
- Address
- 1410 WASHINGTON ST
- City
- Hanover
- State
- Massachusetts
- ZIP Code
- 02339-1673
- Phone
- (781) 630-7440
Authorized Official
- Name
- MICHAEL ANGELO SCIALABBA
- Title
- CHIEF DENTAL OFFICER
- Phone
- (561) 512-2709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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