Eugene A Mickey, Dmd, Mph, Pc

NPI 1396829180 - Dentist - 1223P0221X

NPI Details
NPI 1396829180
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LISA A LISA
Position OFFICE MANAGER
Phone (781) 279-2400
Fax (781) 279-4640
Practice Location
67 MONTVALE AVE
SUITE 101
STONEHAM MA, 02180-3618, US
Phone (781) 279-2400
Fax (781) 279-4640
Business Location
67 MONTVALE AVE
SUITE 101
STONEHAM MA, 02180-3618, US
Phone (781) 279-2400
Fax (781) 279-4640
Toxanomy
Taxonomy Code 1223P0221X
License State Massachusetts
License Number 14275
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According to our database, Eugene A Mickey, Dmd, Mph, Pc NPI is 1396829180, taxonomy code is 1223P0221X and license number is 14275, license state is located at Massachusetts. Eugene A Mickey, Dmd, Mph, Pc physically located at 67 Montvale Ave, Stoneham MA, 02180-3618. NPI Number 1033115704 has the healthcare provider type.

1396829180 NPI number is provided on an as is basis without warranty of any kind. 1396829180 is maintained by the National Plan & Provider Enumeration System. The contents of Eugene A Mickey, Dmd, Mph, Pc are for informational purposes only.