| Advanced Dental Spa | |
|
144 Dartmouth St New Bedford MA 02740-3101 | |
| (774) 688-9226 | |
| Not Available |
| Full Name | Advanced Dental Spa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 144 Dartmouth St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Vivianne J Khalife-yazbeck (PRESIDENT) |
| Authorized Official Contact | 7746889226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Spa 140 Dartmouth Street New Bedford MA 02740 Ph: (774) 688-9226 | Advanced Dental Spa 144 Dartmouth St New Bedford MA 02740-3101 Ph: (774) 688-9226 |
| NPI Number | 1164621793 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164621793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21657 (Massachusetts) | Primary |
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