Dr. Richard a Short Dmd, Dr. Ronni Ann Schnell Dmd

NPI #1679013569 in Medford, Massachusetts

Provider Information

NPI Number: 1679013569
Entity Type: Organization
Organization Name: Dr. Richard a Short Dmd, Dr. Ronni Ann Schnell Dmd
Primary Specialty: Dentist
Enumeration Date: Feb 27, 2017
Last Updated: Feb 27, 2017

Practice Location

Address: 92 HIGH ST
Address 2: SUITE DH 11-12
City: Medford
State: Massachusetts
ZIP Code: 02155-3850
Phone: (781) 396-4131

Authorized Official

Name: DR. RICHARD A SHORT, DMD
Title: PROVIDER/OWNER
Phone: (781) 396-4131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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