Organization
LATASCUS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND MASSABNI (DENTAL DIRECTOR)
(508) 498-5924
Entity
Organization
Contact information
Practice address
39 YALE AVE, WAKEFIELD, MA 01880-2308
(781) 245-5366
Mailing address
21 MAIN ST STE 201, MILFORD, MA 01757-2637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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