Organization
AVON FIRST DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARSHAD GHOBBEH DMD (OWNER)
(508) 583-2761
Entity
Organization
Contact information
Practice address
255 W MAIN ST, AVON, MA 02322-1330
(508) 583-2761
(508) 587-8937
Mailing address
255 W MAIN ST, AVON, MA 02322-1330
(508) 583-2761
(508) 587-8937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21444
MA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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