NPI | 1093744674 |
---|---|
Doing Business As | PINNACLE DENTAL AESTHETICS |
Entity Type | Organization |
Authorized Contact | STEVE W BERGMAN President/Dentist 781-843-7905 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15349) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 18388) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-08-22 |