42 North Dental Care, LLC

NPI #1649730334 in Worcester, Massachusetts

Provider Information

NPI Number
1649730334
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 20, 2019
Last Updated
Jun 22, 2021

Practice Location

Address
41 PARK AVE STE 3-4
ZIP Code
01605-3947
Phone
(508) 471-5050

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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