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Organization
INTEGRATED ORAL HEALTH, PC
Active
Organization
INTEGRATED ORAL HEALTH, PC
Active
Other names
My Smile Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHEERAJ PAMIDIMUKKALA DMD (PRESIDENT)
(617) 642-9775
Entity
Organization
Contact information
Practice address
270 LITTLETON RD, SUITE 9, WESTFORD, MA 01886-3526
(617) 642-9775
Mailing address
270 LITTLETON RD, SUITE 9, WESTFORD, MA 01886-3526
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1857321
MA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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