Organization
GATEWAY FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERENA B. CHUOP D.M.D. (DENTIST/OWNER)
(978) 905-0035
Entity
Organization
Contact information
Practice address
151 WARREN ST, SUITE 120, LOWELL, MA 01852-2647
(978) 905-0035
Mailing address
7 JOSLIN LN, SOUTHBOROUGH, MA 01172-2647
(978) 905-0035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20154
MA
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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