Organization
DENTUSA,PC
Active
Other names
Nobscot Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA M. MADANI AAS,BS,DMD,FAGD (OWNER)
(508) 877-7760
Entity
Organization
Contact information
Practice address
883 EDGELL RD, SUITES # 201-3, FRAMINGHAM, MA 01701-3978
(508) 877-7760
(508) 877-7776
Mailing address
883 EDGELL RD, SUITES # 201-3, FRAMINGHAM, MA 01701-3978
(508) 877-7760
(508) 877-7776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19705
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225068133
1
MA
Enumeration date
05/15/2007
Last updated
08/22/2020
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