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Organization
SIMPLY DENTAL OF LONGMEADOW PLLC
Active
Organization
SIMPLY DENTAL OF LONGMEADOW PLLC
Active
Other names
Flagship Dental
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSSAM ALKHOURY (OWNER)
(508) 589-8270
Entity
Organization
Contact information
Practice address
123 DWIGHT RD, LONGMEADOW, MA 01106-1993
(508) 589-8270
Mailing address
87 ELM ST, HOPKINTON, MA 01748-1638
(508) 589-8270
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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