Atlantic Dental

NPI #1770755514 in Lynn, Massachusetts

Provider Information

NPI Number: 1770755514
Entity Type: Organization
Organization Name: Atlantic Dental
Primary Specialty: Dentist
Enumeration Date: Apr 1, 2008
Last Updated: Apr 1, 2008

Practice Location

Address: 153 LEWIS ST
City: Lynn
State: Massachusetts
ZIP Code: 01902-4835
Phone: (781) 599-3553

Authorized Official

Name: DR. ILYA VASSERMAN
Title: PRESIDENT
Phone: (781) 599-3553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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