| Maynard Dental Associates, Llc | |
|
63 Great Rd Suite 105 Maynard MA 01754-2097 | |
| (978) 298-5281 | |
| (978) 298-5364 |
| Full Name | Maynard Dental Associates, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 63 Great Rd, Maynard, Massachusetts |
| Authorized Official Name and Position | Alexander J Moheban (OWNER) |
| Authorized Official Contact | 9782985281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maynard Dental Associates, Llc 63 Great Rd Suite 105 Maynard MA 01754-2097 Ph: (978) 298-5281 | Maynard Dental Associates, Llc 63 Great Rd Suite 105 Maynard MA 01754-2097 Ph: (978) 298-5281 |
| NPI Number | 1811273378 |
|---|---|
| Provider Enumeration Date | 10/28/2011 |
| Last Update Date | 10/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811273378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1855167 (Massachusetts) | Primary |
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