42 North Dental Care, LLC
Clinic/Center, Dental in Norwood, MA. Organization (NPI-2).
NPI number1780137273
StatusActive
Last updated in NPPESJun 21, 2021
Details
- NPI
- 1780137273
- Entity type
- Organization (NPI-2)
- Legal business name
- 42 North Dental Care, LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 1, 2016
- Certification date
- Jun 21, 2021
- Last updated
- Jun 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Gentle Dental Norwood (Doing Business As)
Practice location
980 Providence HighwayNorwood, MA 02062
Phone 781-551-3300
Mailing address
200 5th Ave Fl 3Waltham, MA 02451-8759
Phone 781-647-0772
Authorized official
Michael Angelo Scialabba
Chief Clinical Officer
5615122709
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