Organization
FT DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FOROUGH TABATABAI DMD (OWNER)
(781) 938-5100
Entity
Organization
Contact information
Practice address
444 WASHINGTON STREET, #312, WOBURN, MA 01801
(781) 938-5100
(781) 938-6389
Mailing address
444 WASHINGTON STREET, #312, WOBURN, MA 01801
(781) 938-5100
(781) 938-6389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17495
MA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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