| Somerville First Dental,llc | |
|
622 Somerville Ave Somerville MA 02143-3211 | |
| (617) 623-8489 | |
| Not Available |
| Full Name | Somerville First Dental,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 622 Somerville Ave, Somerville, Massachusetts |
| Authorized Official Name and Position | Farshad Ghobbeh (PRESIDENT) |
| Authorized Official Contact | 6173887727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somerville First Dental,llc 622 Somerville Ave Somerville MA 02143-3211 Ph: () - | Somerville First Dental,llc 622 Somerville Ave Somerville MA 02143-3211 Ph: (617) 623-8489 |
| NPI Number | 1891051066 |
|---|---|
| Provider Enumeration Date | 04/02/2012 |
| Last Update Date | 04/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891051066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN21444 (Massachusetts) | Primary |
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