Massachusetts General Physicians Organization

NPI #1396062246 in Danvers, Massachusetts

Provider Information

NPI Number
1396062246
Entity Type
Organization
Organization Name
Massachusetts General Physicians Organization
Subpart
Yes (part of a larger organization)
Parent Organization
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION DBA MGH DENTAL GROUP
Primary Specialty
Dentist
Enumeration Date
Apr 30, 2010
Last Updated
Apr 30, 2010

Practice Location

Address
104 ENDICOTT ST
Address 2
SUITE 101
ZIP Code
01923-3623
Phone
(978) 882-6600

Authorized Official

Name
DR. AGNES LAU, DMD
Title
CHIEF, MGH DIVISION OF DENTISTRY
Phone
(617) 726-1076

Specialties & Taxonomy Codes

Specialty
Dentist

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