Mass Ave Dental | |
312 Mass Ave Lunenburg MA 01462-1219 | |
(978) 582-0800 | |
(978) 582-6400 |
Full Name | Mass Ave Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 312 Mass Ave, Lunenburg, Massachusetts |
Authorized Official Name and Position | Ahmed El Samra (DENTIST) |
Authorized Official Contact | 9785820800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mass Ave Dental 312 Mass Ave Lunenburg MA 01462-1219 Ph: (978) 582-0800 | Mass Ave Dental 312 Mass Ave Lunenburg MA 01462-1219 Ph: (978) 582-0800 |
NPI Number | 1518139724 |
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Provider Enumeration Date | 03/27/2008 |
Last Update Date | 03/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518139724 | NPI | - | NPPES |
9793992 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Paul A Migliozzi Jr., D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 585 Massachusetts Avenue, Lunenburg, MA 01462 Phone: 978-582-6450 Fax: 978-582-0405 |