Organization
DAVIS SQUARE DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUHAB Z RIZKALLAH (OWNER)
(617) 764-2247
Entity
Organization
Contact information
Practice address
1792 DORCHESTER AVE, DORCHESTER, MA 02124-2533
(617) 265-8338
Mailing address
30 COLLEGE AVE, SOMERVILLE, MA 02144-1914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20416
MA
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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