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Organization

DENTAL ARTS OF SAUGUS

Active
Parent organization
TASHKENT DENTAL INC
Other names
Tashkent Dental Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
TASHKENT DENTAL INC
Authorized official
DR. ILYOSS GULYAMOV DMD (PRESIDENT)
(239) 248-8862
Entity
Organization

Contact information

Practice address
311 CENTRAL ST, 1ST FLOOR, SAUGUS, MA 01906-2341
(866) 942-5444
Mailing address
311 CENTRAL ST, 1ST FLOOR, SAUGUS, MA 01906-2341
(866) 942-5444

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856045
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427311471
MA
Enumeration date
03/30/2015
Last updated
04/26/2015
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