Organization
MD CONSULTANTS
Active
Other names
Kangaroo Smiles Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA DANESHI DDS (OWNER)
(508) 603-9554
Entity
Organization
Contact information
Practice address
33 BARTLETT ST, #501, LOWELL, MA 01852-1334
(508) 603-9554
Mailing address
31 PROSPECT ST, UPTON, MA 01568-1345
(818) 825-0905
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856191
MA
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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