Organization
HOLBROOK DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAKI MICHAEL MUKDISSI DMD (OWNER /MANAGER)
(617) 386-9834
Entity
Organization
Contact information
Practice address
8 JEWEL RD, HOLBROOK, MA 02343-1506
(781) 767-1300
(781) 961-3090
Mailing address
8 JEWEL RD, HOLBROOK, MA 02343-1506
(781) 767-1300
(781) 961-3090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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