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Organization

MGS DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIKHAIL GOMER DMD (PRESIDENT)
(857) 919-6470
Entity
Organization

Contact information

Practice address
1756 MAIN ST, TEWKSBURY, MA 01876-2003
(857) 919-6470
Mailing address
12 PIPERS GLN, ANDOVER, MA 01810-2336
(857) 919-6470

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21083
MA

Other

Enumeration date
04/26/2010
Last updated
04/26/2010
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