Conant Street Dental LLC

NPI #1710382676 in Danvers, Massachusetts

Provider Information

NPI Number: 1710382676
Entity Type: Organization
Organization Name: Conant Street Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 4, 2014
Last Updated: Nov 4, 2014

Practice Location

Address: 36 CONANT ST STE 4
City: Danvers
State: Massachusetts
ZIP Code: 01923-2954
Phone: (978) 774-3331

Authorized Official

Name: DR. SEUNGHEE SONG
Title: DENTIST
Phone: (978) 774-3331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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