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Organization

MIKHAIL GOMER DMD PC

Active
Other names
Mount Vernon Dental Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIKHAIL GOMER DMD (OWNER)
(978) 682-0641
Entity
Organization

Contact information

Practice address
525 SOUTH BROADWAY, LAWRENCE, MA 01843-2837
(978) 682-0641
(978) 682-0644
Mailing address
525 SOUTH BROADWAY, LAWRENCE, MA 01843-2837
(978) 682-0641
(978) 682-0644

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21083
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9747401
MA
Enumeration date
03/01/2007
Last updated
07/24/2015
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