42 NORTH DENTAL CARE LLC NPI 1124592951

NPI Information

42 NORTH DENTAL CARE, LLC is a dental clinic center in Needham, MA. 42 NORTH DENTAL CARE, LLC NPI is 1124592951. The provider is registered as an organization entity type.
The provider Is Doing Business As Gillis Dental.

The provider's business location address is:

1211 HIGHLAND AVE
NEEDHAM, MA
ZIP 02492-634
Phone: (781) 647-0772

The provider's authorized official is Michael Angelo Scialabba .
The authorized official title is Chief Clinical Officer and has the following contact phone number (561) 512-2709.

The enumeration date for this NPI number is 1/15/2019 and was last updated on 6/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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