| Mdsa LLC | |
|
380 Merrimack St Suite 3a Methuen MA 01844-5870 | |
| (978) 685-2471 | |
| (978) 683-3985 |
| Full Name | Mdsa LLC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 380 Merrimack St, Methuen, Massachusetts |
| Authorized Official Name and Position | Gary H Wainwright (MEMBER) |
| Authorized Official Contact | 9786852471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdsa LLC 380 Merrimack St Suite 3a Methuen MA 01844-5870 Ph: (978) 685-2471 | Mdsa LLC 380 Merrimack St Suite 3a Methuen MA 01844-5870 Ph: (978) 685-2471 |
| NPI Number | 1871839530 |
|---|---|
| Provider Enumeration Date | 12/27/2012 |
| Last Update Date | 12/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871839530 | NPI | - | NPPES |
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