Organization
MASSABNI STOW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND MASSABNI (DENTAL DIRECTOR)
(617) 797-5094
Entity
Organization
Contact information
Practice address
154 GREAT RD, STOW, MA 01775-1125
(978) 897-3940
Mailing address
154 GREAT RD, STOW, MA 01775-1125
(978) 897-3940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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