SVEN SUPPLIES DMD PC NPI 1578882635

NPI Information

SVEN SUPPLIES DMD, PC is a dental clinic center in Acton, MA. SVEN SUPPLIES DMD, PC NPI is 1578882635. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Great Road Orthodontics.

The provider's business location address is:

179 GREAT RD
SUIUTE 206
ACTON, MA
ZIP 01720-777
Phone: (978) 263-8358
Fax: (978) 263-9260

The provider's authorized official is Sven Supplies .
The authorized official title is Owner/president and has the following contact phone number (978) 263-8358.

The enumeration date for this NPI number is 5/27/2010 and was last updated on 5/27/2010.

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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