Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 133 Market St, Lowell, Massachusetts |
Authorized Official Name and Position | Iham Gammas (PRESIDENT) |
Authorized Official Contact | 9784581179 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
263 Huntington Ave Boston MA 02115-4506 Ph: () - | 133 Market St Lowell MA 01852-6249 Ph: (978) 458-1179 |
NPI Number | 1437658226 |
---|---|
Provider Enumeration Date | 02/07/2018 |
Last Update Date | 02/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437658226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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