Organization
MEDWAY FAMILY DENTAL PLLC
Active
Other names
Medway Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND MASSABNI (DDS/OWNER)
(508) 473-7632
Entity
Organization
Contact information
Practice address
131 MAIN ST, MEDWAY, MA 02053-1576
(508) 533-7461
(508) 533-7455
Mailing address
131 MAIN ST, MEDWAY, MA 02053-1576
(508) 533-7461
(508) 533-7455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20694
MA
Other
Enumeration date
05/25/2018
Last updated
12/09/2019
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