| Omni Dentix & Assoc. | |
|
3850 Mystic Valley Pkwy Suite 20 Medford MA 02155-6901 | |
| (781) 396-6613 | |
| (781) 395-4292 |
| Full Name | Omni Dentix & Assoc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3850 Mystic Valley Pkwy, Medford, Massachusetts |
| Authorized Official Name and Position | Mohammed E Mobasherat (PRESIDENT) |
| Authorized Official Contact | 7813966613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Dentix & Assoc. 3850 Mystic Valley Pkwy Suite 20 Medford MA 02155-6901 Ph: (781) 396-6613 | Omni Dentix & Assoc. 3850 Mystic Valley Pkwy Suite 20 Medford MA 02155-6901 Ph: (781) 396-6613 |
| NPI Number | 1104088491 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104088491 | NPI | - | NPPES |
| 0263702 | Medicaid | MA | |
| 0205401 | Medicaid | MA | |
| 0268361 | Medicaid | MA |
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