42 North Dental Care, LLC
NPI #1972872729 in West Roxbury, Massachusetts
Provider Information
- NPI Number
- 1972872729
- Entity Type
- Organization
- Organization Name
- 42 North Dental Care, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 42 NORTH DENTAL CARE, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 23, 2011
- Last Updated
- Jun 21, 2021
Practice Location
- Address
- 1852 CENTRE ST
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132-1901
- Phone
- (617) 325-3700
Authorized Official
- Name
- DR. MICHAEL ANGELO SCIALABBA, DDS
- Title
- CHIEF CLINICAL OFFICER
- Phone
- (561) 512-2709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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