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Organization

VENUSDENTALPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AZADEH SHAHAB (DENTISTOWNER)
(978) 298-5281
Entity
Organization

Contact information

Practice address
63 GREAT RD STE 105, MAYNARD, MA 01754-2097
(978) 298-5281
Mailing address
63 GREAT RD STE 105, MAYNARD, MA 01754-2097
(978) 298-5281

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DN1856317
MA

Other

Enumeration date
07/14/2015
Last updated
07/14/2015
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