Organization
NATICK DENTAL GROUP
Active
Other names
Premier Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONAF ALYASSI (DENTIST)
(508) 318-6333
Entity
Organization
Contact information
Practice address
232 POND ST, SUITE 5, NATICK, MA 01760-4366
(508) 318-6333
(508) 318-6338
Mailing address
232 POND ST, SUITE 5, NATICK, MA 01760-4366
(508) 318-6333
(508) 318-6338
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN20634
MA
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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