Organization
SIMPLY DENTAL OF LONGMEADOW PLLC
Active
Other names
Flagship Dental
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSSAM ALKHOURY (OWNER)
(508) 589-8270
Entity
Organization
Contact information
Practice address
123 DWIGHT RD, LONGMEADOW, MA 01106-1993
(508) 589-8270
Mailing address
87 ELM ST, HOPKINTON, MA 01748-1638
(508) 589-8270
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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