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Organization
HEALTHY TEETH P.C.
Active
Organization
HEALTHY TEETH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREMAL PATEL (PRESIDENT)
(978) 954-5106
Entity
Organization
Contact information
Practice address
978 GORHAM ST, LOWELL, MA 01852-5051
(978) 954-5106
Mailing address
978 GORHAM ST, LOWELL, MA 01852-5051
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1855311
MA
Other
Enumeration date
10/29/2016
Last updated
10/29/2016
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