Crystal Lake Dental PC
NPI #1700059441 in Wakefield, Massachusetts
Provider Information
- NPI Number
- 1700059441
- Entity Type
- Organization
- Organization Name
- Crystal Lake Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 2, 2008
- Last Updated
- Jun 15, 2008
Practice Location
- Address
- 725 MAIN ST
- City
- Wakefield
- State
- Massachusetts
- ZIP Code
- 01880-5206
- Phone
- (781) 245-6966
Authorized Official
- Name
- CSILLA GYURKO, D.M.D
- Title
- OWNER
- Phone
- (781) 245-6966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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