| Assembly Square Family Dental | |
|
5 Middlesex Ave Suite 305, 3rd Floor Somerville MA 02145-1102 | |
| (617) 764-1781 | |
| (617) 764-5649 |
| Full Name | Assembly Square Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5 Middlesex Ave, Somerville, Massachusetts |
| Authorized Official Name and Position | Sanjeevan Virk (MANAGER) |
| Authorized Official Contact | 6177641781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assembly Square Family Dental 5 Middlesex Ave Suite 305, 3rd Floor Somerville MA 02145-1102 Ph: (617) 764-1781 | Assembly Square Family Dental 5 Middlesex Ave Suite 305, 3rd Floor Somerville MA 02145-1102 Ph: (617) 764-1781 |
| NPI Number | 1538408745 |
|---|---|
| Provider Enumeration Date | 02/07/2013 |
| Last Update Date | 02/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538408745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1855058 (Massachusetts) | Primary |
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