NPI | 1366936783 |
---|---|
Doing Business As | AMESBURY DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | BRAD LYLE FULKERSON Dentist / Owner 978-388-3505 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: MA DN21905) |
332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
Enumeration Date | 2018-06-19 |
Last Update Date | 2024-07-02 |