Organization
AVALON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAJED JARADEH DMD (OWNER)
(617) 733-9117
Entity
Organization
Contact information
Practice address
160 CAMBRIDGE ST UNIT H, CAMBRIDGE, MA 02141-1819
(617) 374-9500
Mailing address
160 CAMBRIDGE ST UNIT H, CAMBRIDGE, MA 02141-1819
(617) 374-9500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093930869
NPI
MA
Enumeration date
02/20/2019
Last updated
02/20/2019
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