Organization
MILFORD DENTAL PLLC
Active
Other names
Milford Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND MASSABNI (OWNER)
(508) 473-7632
Entity
Organization
Contact information
Practice address
21 MAIN ST STE 102, MILFORD, MA 01757-2637
(508) 377-3743
Mailing address
21 MAIN ST STE 102, MILFORD, MA 01757-2637
(508) 377-3743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20694
MA
Other
Enumeration date
05/02/2018
Last updated
12/09/2019
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