Organization
PEDIATRIC DENTAL OF MILLIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADIA DIAB SHAMARI (OWNER)
(508) 376-1116
Entity
Organization
Contact information
Practice address
1098 MAIN ST, MILLIS, MA 02054-1473
(508) 376-1116
Mailing address
1098 MAIN ST, MILLIS, MA 02054-1473
(508) 376-1116
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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