Organization
PREMIER FAMILY DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA OH DMD (DENTIST)
(617) 529-5928
Entity
Organization
Contact information
Practice address
850 MAIN ST, TEWKSBURY, MA 01876-1848
(978) 851-2621
Mailing address
850 MAIN ST, TEWKSBURY, MA 01876-1848
(978) 851-2621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855978
MA
1223G0001X
General Practice Dentistry
DN1855978
MA
Other
Enumeration date
02/07/2014
Last updated
02/11/2014
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