Organization · Type 2 NPI
Idg Ipswich Dental PC
Dental Clinic/Center · Ipswich, MA
NPI number
1629616115
Active
Practice location
130 County Rd Ste D
Ipswich, MA 01938-2585
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1629616115
Idg Ipswich Dental PC's National Provider Identifier is 1629616115, issued on Dec 15, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ipswich, MA. The record was last updated on Dec 15, 2019.