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Organization

AMERIDENT DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABBOUD MALLOUH DDS (SPECIALIST)
(978) 957-5733
Entity
Organization

Contact information

Practice address
505 NASHUA RD, SUITE #13, DRACUT, MA 01826-1955
(978) 957-5733
Mailing address
505 NASHUA RD, SUITE #13, DRACUT, MA 01826-1955
(978) 957-5733

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/26/2015
Last updated
08/26/2015
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