Organization
MILFORD SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND MASSABNI D.M.D. (OWNER)
(508) 473-7632
Entity
Organization
Contact information
Practice address
8 ASYLUM ST, MILFORD, MA 01757-2203
(508) 473-7632
Mailing address
8 ASYLUM ST, MILFORD, MA 01757-2203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20694
MA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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