| Southborough Dental Partners Pllc | |
|
21 Turnpike Rd Suite F Southborough MA 01772-2117 | |
| (508) 357-8800 | |
| (508) 624-0191 |
| Full Name | Southborough Dental Partners Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21 Turnpike Rd, Southborough, Massachusetts |
| Authorized Official Name and Position | Husam Al-khateeb (DENTIST (OWNER)) |
| Authorized Official Contact | 6175714992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southborough Dental Partners Pllc 21 Turnpike Rd Suite F Southborough MA 01772-2117 Ph: (508) 357-8800 | Southborough Dental Partners Pllc 21 Turnpike Rd Suite F Southborough MA 01772-2117 Ph: (508) 357-8800 |
| NPI Number | 1053585869 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 09/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053585869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 18504 (Massachusetts) | Primary |
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