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Organization
SOMERVILLE FIRST DENTAL,LLC
Active
Organization
SOMERVILLE FIRST DENTAL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARSHAD GHOBBEH D.M.D (PRESIDENT)
(617) 388-7727
Entity
Organization
Contact information
Practice address
622 SOMERVILLE AVE, SOMERVILLE, MA 02143-3211
(617) 623-8489
Mailing address
622 SOMERVILLE AVE, SOMERVILLE, MA 02143-3211
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN21444
MA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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