| Tashkent Dental Inc | |
|
311 Central St 1st Floor Saugus MA 01906-2341 | |
| (866) 942-5444 | |
| Not Available |
| Full Name | Tashkent Dental Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 311 Central St, Saugus, Massachusetts |
| Authorized Official Name and Position | Ilyoss Gulyamov (PRESIDENT) |
| Authorized Official Contact | 2392488862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tashkent Dental Inc 311 Central St 1st Floor Saugus MA 01906-2341 Ph: (866) 942-5444 | Tashkent Dental Inc 311 Central St 1st Floor Saugus MA 01906-2341 Ph: (866) 942-5444 |
| NPI Number | 1124413000 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 04/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124413000 | NPI | - | NPPES |
| 1427311471 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1856045 (Massachusetts) | Primary |
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