Orchard Family Dental Llc | |
439 Main St Suite A Indian Orchard MA 01151-1238 | |
(413) 543-1202 | |
(413) 543-4751 |
Full Name | Orchard Family Dental Llc |
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Speciality | Dentist - General Practice |
Location | 439 Main St, Indian Orchard, Massachusetts |
Authorized Official Name and Position | Samer M Tahoun (OWNER) |
Authorized Official Contact | 4135431202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Orchard Family Dental Llc 439 Main Street Suite A Indian Orchard MA 01151 Ph: (413) 543-1202 | Orchard Family Dental Llc 439 Main St Suite A Indian Orchard MA 01151-1238 Ph: (413) 543-1202 |
NPI Number | 1992871115 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1992871115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |