| The Braces Place Of Lowell | |
|
21 George St Lowell MA 01852-2228 | |
| (978) 454-0774 | |
| Not Available |
| Full Name | The Braces Place Of Lowell |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 21 George St, Lowell, Massachusetts |
| Authorized Official Name and Position | Mouhab Rizkallah (OWNER) |
| Authorized Official Contact | 6175919999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Braces Place Of Lowell 30 College Ave Somerville MA 02144-1914 Ph: () - | The Braces Place Of Lowell 21 George St Lowell MA 01852-2228 Ph: (978) 454-0774 |
| NPI Number | 1184051153 |
|---|---|
| Provider Enumeration Date | 10/04/2013 |
| Last Update Date | 10/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184051153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20416 (Massachusetts) | Primary |
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