Organization
SUPER DENTAL OF FITCHBURG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSSAM ALKHOURY (OWNER)
(508) 589-8270
Entity
Organization
Contact information
Practice address
130 WATER ST, FITCHBURG, MA 01420-5478
(978) 342-8500
Mailing address
87 ELM ST, HOPKINTON, MA 01748-1638
(508) 589-8270
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/19/2020
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