Organization
ILSHAHUOME DENTAL SURGERY
Active
Other names
Premierone Implant Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ILSHAHUOME (OWNER)
(646) 371-3561
Entity
Organization
Contact information
Practice address
103 COMMONWEALTH AVE, ATTLEBORO FALLS, MA 02763-1015
(508) 699-0449
(508) 699-4344
Mailing address
103 COMMONWEALTH AVE, ATTLEBORO FALLS, MA 02763-1015
(508) 699-0449
(508) 699-4344
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/19/2021
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