| Advanced Dental Professionals,pc | |
|
413 Broadway Ste 101 Methuen MA 01844 | |
| (978) 258-3252 | |
| Not Available |
| Full Name | Advanced Dental Professionals,pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 413 Broadway, Methuen, Massachusetts |
| Authorized Official Name and Position | Randall L Davis (PRESIDENT) |
| Authorized Official Contact | 9782583252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Professionals,pc 413 Broadway Ste101 Methuen MA 01844 Ph: (978) 258-3252 | Advanced Dental Professionals,pc 413 Broadway Ste 101 Methuen MA 01844 Ph: (978) 258-3252 |
| NPI Number | 1760755417 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 02/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760755417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 16356 (Massachusetts) | Primary |
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