Organization
ADVANCED DENTAL SPA OF FALL RIVER LLC
Active
Parent organization
ADVANCED DENTAL SPA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED DENTAL SPA LLC
Authorized official
DR. RAED YAZBECK (OWNER)
(508) 567-4544
Entity
Organization
Contact information
Practice address
373 NEW BOSTON RD, FALL RIVER, MA 02720-5814
(508) 567-4544
Mailing address
373 NEW BOSTON RD, FALL RIVER, MA 02720-5814
(508) 567-4544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21657
MA
1223G0001X
General Practice Dentistry
Primary
22252
MA
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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