| Ft Dental Corp | |
|
444 Washington Street #312 Woburn MA 01801 | |
| (781) 938-5100 | |
| (781) 938-6389 |
| Full Name | Ft Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 444 Washington Street, Woburn, Massachusetts |
| Authorized Official Name and Position | Forough Tabatabai (OWNER) |
| Authorized Official Contact | 7819385100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ft Dental Corp 444 Washington Street #312 Woburn MA 01801 Ph: (781) 938-5100 | Ft Dental Corp 444 Washington Street #312 Woburn MA 01801 Ph: (781) 938-5100 |
| NPI Number | 1093988362 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093988362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17495 (Massachusetts) | Primary |
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