| Davis Square Dental Specialists | |
|
1792 Dorchester Ave Dorchester MA 02124-2533 | |
| (617) 265-8338 | |
| Not Available |
| Full Name | Davis Square Dental Specialists |
|---|---|
| Speciality | Dentist |
| Location | 1792 Dorchester Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Mouhab Z Rizkallah (OWNER) |
| Authorized Official Contact | 6177642247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Square Dental Specialists 30 College Ave Somerville MA 02144-1914 Ph: () - | Davis Square Dental Specialists 1792 Dorchester Ave Dorchester MA 02124-2533 Ph: (617) 265-8338 |
| NPI Number | 1013258359 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 03/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013258359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20416 (Massachusetts) | Primary |
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