Organization
WEST RIVER DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSSAM ALKHOURY DMD (PRESIDENT)
(508) 505-5040
Entity
Organization
Contact information
Practice address
450 W RIVER ST, SUITE 2, ORANGE, MA 01364-1435
(978) 544-7965
Mailing address
97 FOX RUN RD, BOLTON, MA 01740-2004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D20511
MA
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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