42 North Dental Care, LLC
NPI #1558631432 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1558631432
- 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
- Jan 9, 2012
- Last Updated
- Jun 21, 2021
Practice Location
- Address
- 879 MAIN ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-7414
- Phone
- (781) 899-3700
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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