Organization
BAY STATE DENTAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOHA ANAN ELKADRY DMD (PRESIDENT)
(781) 729-4644
Entity
Organization
Contact information
Practice address
10 CONVERSE PLACE, 4TH FLOOR, WINCHESTER, MA 01890
(781) 727-4644
(781) 729-0581
Mailing address
10 CONVERSE PLACE, 4TH FLOOR, WINCHESTER, MA 01890
(781) 727-4644
(781) 729-0581
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18623
MA
Other
Enumeration date
08/23/2006
Last updated
08/29/2007
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