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Organization

SAMBATH KEO, DMD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMBATH KEO (PRESIDENT)
(978) 441-9991
Entity
Organization

Contact information

Practice address
50 WOOD ST, LOWELL, MA 01851-1519
(978) 441-9991
(978) 441-9996
Mailing address
50 WOOD ST, LOWELL, MA 01851-1519
(978) 441-9991
(978) 441-9996

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17863
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0273732
MA
Enumeration date
04/01/2008
Last updated
04/01/2008
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