Organization
ALPHA DENTAL SOMERVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAILA PASHA D.M.D (PRESIDENT)
(617) 625-8500
Entity
Organization
Contact information
Practice address
701 BROADWAY, SOMERVILLE, MA 02144-2223
(617) 625-8500
Mailing address
701 BROADWAY, SOMERVILLE, MA 02144-2223
(617) 625-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21014
MA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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