Organization
CHARLTON FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHEEN ISHAQ DMD (PRESIDENT)
(978) 365-2463
Entity
Organization
Contact information
Practice address
159B WORCESTER RD, CHARLTON, MA 01507-1243
(978) 634-2031
Mailing address
28 POWDER HILL RD, BOLTON, MA 01740-1083
(978) 365-2463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22339
MA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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