Organization
MIDDLESEX ADVANCED COSMETIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHANA HEM DMD (OWNER)
(781) 721-9900
Entity
Organization
Contact information
Practice address
955 MAIN ST, SUITE 111, WINCHESTER, MA 01890-1961
(781) 721-9900
(781) 721-9902
Mailing address
955 MAIN ST, SUITE 111, WINCHESTER, MA 01890-1961
(781) 721-9900
(781) 721-9902
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN22273
MA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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