| Great Road Dental Associates,p.c | |
|
296 Great Rd Acton MA 01720-4710 | |
| (978) 263-8525 | |
| (978) 263-2955 |
| Full Name | Great Road Dental Associates,p.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 296 Great Rd, Acton, Massachusetts |
| Authorized Official Name and Position | Kinan Kanbar (PRESIDENT) |
| Authorized Official Contact | 9782638525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Road Dental Associates,p.c 296 Great Rd Acton MA 01720-4710 Ph: (978) 263-8525 | Great Road Dental Associates,p.c 296 Great Rd Acton MA 01720-4710 Ph: (978) 263-8525 |
| NPI Number | 1548320179 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548320179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19336 (Massachusetts) | Primary |
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