42 North Dental Care, Pllc

NPI #1366017394 in Waltham, Massachusetts

Provider Information

NPI Number: 1366017394
Entity Type: Organization
Organization Name: 42 North Dental Care, Pllc
Primary Specialty: Dentist
Enumeration Date: May 21, 2021
Last Updated: May 21, 2021

Practice Location

Address: 200 5TH AVE FL 3
City: Waltham
State: Massachusetts
ZIP Code: 02451-8759
Phone: (781) 647-0772

Authorized Official

Name: DR. MICHAEL ANGELO SCIALABBA, DDS
Title: CHIEF CLINICAL OFFICER
Phone: (561) 512-2709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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