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Organization
EASTERN DENTAL SPECIALIST
Active
Organization
EASTERN DENTAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOFTAH EL-GHADI DMD FACP (OWNER)
(508) 230-3737
Entity
Organization
Contact information
Practice address
67 BELMONT ST, SOUTH EASTON, MA 02375-1103
(508) 230-3737
(508) 230-3733
Mailing address
67 BELMONT STREET, SOUTH EASTON, MA 02375
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19979
MA
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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