Organization
NOWAK FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALENA NOWAK DDS (OWNER)
(413) 262-0308
Entity
Organization
Contact information
Practice address
84 MYRTLE ST, MELROSE, MA 02176-3839
(781) 662-9119
Mailing address
14 AUDUBON RD APT 224, WAKEFIELD, MA 01880-1333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2018
Last updated
02/28/2019
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