Organization
IRFAN DASTI DMD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRFAN L DASTI DMD,PC (PRESIDENT)
(978) 632-7870
Entity
Organization
Contact information
Practice address
394 ELM ST, GARDNER, MA 01440-3926
(978) 632-7870
(978) 630-2601
Mailing address
394 ELM ST, GARDNER, MA 01440-3926
(978) 632-7870
(978) 630-2601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19552
MA
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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