Individual
DR. OSMAN PROMKET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
(978) 221-6728
Mailing address
49 VARNUM AVE, LOWELL, MA 01854-2510
(978) 429-5996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859126
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/01/2021
Last updated
01/03/2024
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