| Crystal Lake Dental Pc | |
|
725 Main St Wakefield MA 01880-5206 | |
| (781) 245-6966 | |
| (781) 245-7403 |
| Full Name | Crystal Lake Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 725 Main St, Wakefield, Massachusetts |
| Authorized Official Name and Position | Csilla Gyurko (OWNER) |
| Authorized Official Contact | 7812456966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lake Dental Pc 725 Main St Wakefield MA 01880-5206 Ph: (781) 245-6966 | Crystal Lake Dental Pc 725 Main St Wakefield MA 01880-5206 Ph: (781) 245-6966 |
| NPI Number | 1700059441 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 06/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700059441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20641 (Massachusetts) | Primary |
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