Organization
EZ DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ABOU-EZZI DMD (OWNER/MANAGER)
(508) 801-4903
Entity
Organization
Contact information
Practice address
156 MAIN ST UNIT 1, GROVELAND, MA 01834-1311
(978) 521-2922
(978) 521-2922
Mailing address
555 TURNPIKE ST STE 55, NORTH ANDOVER, MA 01845-5935
(508) 801-4903
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164579389
—
MA
Enumeration date
02/27/2023
Last updated
02/27/2023
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