Organization
ELEMENT FAMILY DENTAL
Active
Other names
Element Dental
Organization subpart
No
Provider details
NPI number
Authorized official
HARANCHAL K BAINS DMD (OWNER)
(916) 672-7417
Entity
Organization
Contact information
Practice address
3860 MYSTIC VALLEY PKWY, UNIT B, MEDFORD, MA 02155-5029
(617) 863-4410
(617) 863-4414
Mailing address
3860 MYSTIC VALLEY PKWY, UNIT B, MEDFORD, MA 02155-5029
(617) 863-4410
(617) 863-4414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
01/29/2020
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