Mass Bay Dental PC

NPI #1518253822 in Salem, Massachusetts

Provider Information

NPI Number: 1518253822
Entity Type: Organization
Organization Name: Mass Bay Dental PC
Primary Specialty: Dentist
Enumeration Date: Jun 24, 2011
Last Updated: Jun 24, 2011

Practice Location

Address: 226 ESSEX ST
City: Salem
State: Massachusetts
ZIP Code: 01970-3705
Phone: (978) 744-2480

Authorized Official

Name: DR. GUEORGUI IVANOV, DMD
Title: DENTIST
Phone: (617) 974-1270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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