| Prichard Family Dental, L.l.c. | |
|
110 Prichard St Fitchburg MA 01420-7577 | |
| (978) 343-3031 | |
| (978) 343-3030 |
| Full Name | Prichard Family Dental, L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 Prichard St, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Ahmed El Samra (OWNER) |
| Authorized Official Contact | 9785820800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prichard Family Dental, L.l.c. 110 Prichard St Fitchburg MA 01420-7577 Ph: (978) 343-3031 | Prichard Family Dental, L.l.c. 110 Prichard St Fitchburg MA 01420-7577 Ph: (978) 343-3031 |
| NPI Number | 1306210562 |
|---|---|
| Provider Enumeration Date | 11/25/2015 |
| Last Update Date | 11/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306210562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20146 (Massachusetts) | Primary |
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