| Everett Dental Center | |
|
95 Main St Everett MA 02149-5722 | |
| (617) 387-2233 | |
| (617) 389-2233 |
| Full Name | Everett Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 95 Main St, Everett, Massachusetts |
| Authorized Official Name and Position | Lyudmila Victoria Shnayder (PRESIDENT) |
| Authorized Official Contact | 6173872233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everett Dental Center 95 Main St Everett MA 02149-5722 Ph: (617) 387-2233 | Everett Dental Center 95 Main St Everett MA 02149-5722 Ph: (617) 387-2233 |
| NPI Number | 1790955250 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790955250 | NPI | - | NPPES |
| 0204510 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20091 (Massachusetts) | Primary |
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