Organization
E Z DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE ABOU-EZZI D.M.D (PRESIDENT)
(978) 685-5562
Entity
Organization
Contact information
Practice address
555 TURNPIKE ST, #55, NORTH ANDOVER, MA 01845-5923
(978) 685-5562
(978) 685-6585
Mailing address
555 TURNPIKE ST, #55, NORTH ANDOVER, MA 01845-5923
(978) 685-5562
(978) 685-6585
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18765
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281646
—
MA
Enumeration date
09/08/2008
Last updated
09/08/2008
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