Organization
GREAT ROAD DENTAL ASSOCIATES,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINAN KANBAR (PRESIDENT)
(978) 263-8525
Entity
Organization
Contact information
Practice address
296 GREAT RD, ACTON, MA 01720-4710
(978) 263-8525
(978) 263-2955
Mailing address
296 GREAT RD, ACTON, MA 01720-4710
(978) 263-8525
(978) 263-2955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19336
MA
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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