Organization
ALPHA DENTAL OF SWANSEA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUNAL SALEM (OWNER/DENTIST)
(508) 379-6052
Entity
Organization
Contact information
Practice address
33 JAMES REYNOLDS RD, SWANSEA, MA 02777-3429
(508) 379-6052
Mailing address
33 JAMES REYNOLDS RD, SWANSEA, MA 02777-3429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19828
19828
MA
Enumeration date
02/15/2017
Last updated
02/15/2017
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