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Organization
SEA CORAL DENTISTRY PC
Active
Organization
SEA CORAL DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED BASEER AHMED DMD (DIRECTOR)
(201) 417-8417
Entity
Organization
Contact information
Practice address
27 COMMERCIAL ST, GLOUCESTER, MA 01930-5033
(781) 587-2605
Mailing address
27 COMMERCIAL ST, GLOUCESTER, MA 01930-5033
(781) 587-2605
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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