| Lowell Family Dental Practice Pc | |
|
133 Market Street Lowell MA 01852-1808 | |
| (978) 458-1179 | |
| (978) 805-1415 |
| Full Name | Lowell Family Dental Practice Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 133 Market Street, Lowell, Massachusetts |
| Authorized Official Name and Position | Konstantin V Amirzadov (PRESIDENT) |
| Authorized Official Contact | 9784581179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowell Family Dental Practice Pc 133 Market Street Lowell MA 01852-1808 Ph: (978) 458-1179 | Lowell Family Dental Practice Pc 133 Market Street Lowell MA 01852-1808 Ph: (978) 458-1179 |
| NPI Number | 1588790067 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588790067 | NPI | - | NPPES |
| 9727230 | Medicaid | MA | |
| X11619 | Other | MA | BLUE CROSS BLUE SHIELD |
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