Organization
ATHENA DENTAL GROUP PLLC
Active
Other names
Athena Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK BALANI DMD, PHD (OWNER)
(781) 999-1817
Entity
Organization
Contact information
Practice address
318 MONTVALE AVE STE 100, WOBURN, MA 01801-4648
(857) 928-8197
Mailing address
318 MONTVALE AVE STE 100, WOBURN, MA 01801-4648
(857) 928-8197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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