| Sambath Keo, Dmd, Inc | |
|
50 Wood St Lowell MA 01851-1519 | |
| (978) 441-9991 | |
| (978) 441-9996 |
| Full Name | Sambath Keo, Dmd, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 50 Wood St, Lowell, Massachusetts |
| Authorized Official Name and Position | Sambath Keo (PRESIDENT) |
| Authorized Official Contact | 9784419991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sambath Keo, Dmd, Inc 50 Wood St Lowell MA 01851-1519 Ph: (978) 441-9991 | Sambath Keo, Dmd, Inc 50 Wood St Lowell MA 01851-1519 Ph: (978) 441-9991 |
| NPI Number | 1366614174 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366614174 | NPI | - | NPPES |
| 0273732 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17863 (Massachusetts) | Primary |
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