42 North Dental Oral Surgery of Ma, Pllc
NPI #1730846403 in Quincy, Massachusetts
Provider Information
- NPI Number
- 1730846403
- Entity Type
- Organization
- Organization Name
- 42 North Dental Oral Surgery of Ma, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 42 NORTH DENTAL ORAL SURGERY OF MA, PLLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 17, 2021
- Last Updated
- Nov 17, 2021
Practice Location
- Address
- 270 QUINCY AVE
- City
- Quincy
- State
- Massachusetts
- ZIP Code
- 02169-8127
- Phone
- (617) 773-9500
Authorized Official
- Name
- MICHAEL ANGELO SCIALABBA
- Title
- CHEIF CLINICAL OFFICER
- Phone
- (561) 512-2709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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