| Zaki M Mukdissi Dmd Pc | |
|
616 Fellsway Second Floor Medford MA 02155 | |
| (781) 306-9644 | |
| (781) 306-9726 |
| Full Name | Zaki M Mukdissi Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 616 Fellsway, Medford, Massachusetts |
| Authorized Official Name and Position | Zaki M Mukdissi (PRESIDENT) |
| Authorized Official Contact | 7813069644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zaki M Mukdissi Dmd Pc 616 Fellsway Second Floor Medford MA 02155 Ph: (781) 306-9644 | Zaki M Mukdissi Dmd Pc 616 Fellsway Second Floor Medford MA 02155 Ph: (781) 306-9644 |
| NPI Number | 1720180151 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720180151 | NPI | - | NPPES |
| 0201456 | Other | MA | MASS HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19475 (Massachusetts) | Primary |
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