Organization
FOSTER STREET DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIPLAB KUMAR MALO D.M.D. (PRESIDENT)
(978) 944-4197
Entity
Organization
Contact information
Practice address
80 FOSTER ST, UNIT 104, PEABODY, MA 01960-5953
(978) 944-4197
Mailing address
8 ARLINGTON RD, BURLINGTON, MA 01803-4122
(978) 944-4197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855026
MA
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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