Organization
ELITE ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMAD ABDALLAH D.M.D., M.S. (MANAGER)
(781) 686-1733
Entity
Organization
Contact information
Practice address
107 EASTERN AVE, DEDHAM, MA 02026-4515
(781) 686-1733
(781) 686-1726
Mailing address
107 EASTERN AVE, DEDHAM, MA 02026-4515
(781) 686-1733
(781) 686-1726
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21655
MA
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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