Dental Quest Inc | |
1275 Pawtucket Blvd Suit#1 Lowell MA 01854-1070 | |
(978) 458-3456 | |
(978) 923-7906 |
Full Name | Dental Quest Inc |
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Speciality | Dentist |
Location | 1275 Pawtucket Blvd, Lowell, Massachusetts |
Authorized Official Name and Position | Mamatha Polavarapu (DOCTOR) |
Authorized Official Contact | 9784583456 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Quest Inc 1275 Pawtucket Blvd Suit#1 Lowell MA 01854-1070 Ph: (978) 458-3456 | Dental Quest Inc 1275 Pawtucket Blvd Suit#1 Lowell MA 01854-1070 Ph: (978) 458-3456 |
NPI Number | 1871732123 |
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Provider Enumeration Date | 02/10/2009 |
Last Update Date | 03/11/2009 |
Identifier | Type | State | Issuer |
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1871732123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 20435 (Massachusetts) | Primary |
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