| Orthodontics At Davis Square | |
|
30 College Ave Somerville MA 02144-1914 | |
| (617) 591-9999 | |
| (617) 591-9990 |
| Full Name | Orthodontics At Davis Square |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 30 College Ave, Somerville, Massachusetts |
| Authorized Official Name and Position | Mouhab Z Rizkallah (ORTHODONTIST) |
| Authorized Official Contact | 6175919999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontics At Davis Square 30 College Ave Somerville MA 02144-1914 Ph: (617) 591-9999 | Orthodontics At Davis Square 30 College Ave Somerville MA 02144-1914 Ph: (617) 591-9999 |
| NPI Number | 1770746372 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770746372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20416 (Massachusetts) | Primary |
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