Sambath Keo DMD

NPI 1790707669 - Dentist - 1223D0001X

NPI Details
NPI 1790707669
Gender Male
Enumeration Date 07/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
50 WOOD ST
LOWELL MA, 01851, US
Phone (978) 441-9991
Fax (978) 441-9996
Business Location
50 WOOD ST
LOWELL MA, 01851, US
Phone (978) 441-9991
Fax (978) 441-9996
Toxanomy
Taxonomy Code 1223D0001X
License State Massachusetts
License Number 17863
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According to our database, Sambath Keo DMD NPI is 1790707669, taxonomy code is 1223D0001X and license number is 17863, license state is located at Massachusetts. Sambath Keo DMD physically located at 50 Wood St, Lowell MA, 01851. NPI Number Sambath Keo DMD has the Individual type.

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1790707669 NPI number is provided on an as is basis without warranty of any kind. 1790707669 is maintained by the National Plan & Provider Enumeration System. The contents of Sambath Keo DMD are for informational purposes only.