Organization
BAYSTATE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMI E NASSAR DDS (PRESIDENT)
(508) 792-6807
Entity
Organization
Contact information
Practice address
9 HALMSTAD ST, WORCESTER, MA 01607-1519
(508) 792-6807
(508) 792-6804
Mailing address
9 HALMSTAD ST, WORCESTER, MA 01607-1519
(508) 792-6807
(508) 792-6804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19194
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250859743
—
MA
Enumeration date
04/16/2007
Last updated
06/18/2009
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