Organization
THE BRACES PLACE OF LAWRENCE
Active
Other names
The Braces Place of Lowell
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUHAB RIZKALLAH DDS MSD PC (OWNER)
(617) 591-9999
Entity
Organization
Contact information
Practice address
21 GEORGE ST, LOWELL, MA 01852-2228
(978) 454-0774
Mailing address
30 COLLEGE AVE, SOMERVILLE, MA 02144-1914
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20416
MA
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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