Family And Laser Dentistry

NPI 1790951101 - Dentist - 122300000X

NPI Details
NPI 1790951101
Enumeration Date 05/06/2008
Last Updated 05/06/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MAYADA MAYADA
Position DENTIST
Phone (781) 275-6349
Fax (781) 275-8406
Practice Location
143 GREAT RD
BEDFORD MA, 01730-2715, US
Phone (781) 275-6349
Fax (781) 275-8406
Business Location
143 GREAT RD
BEDFORD MA, 01730-2715, US
Phone (781) 275-6349
Fax (781) 275-8406
Toxanomy
Taxonomy Code 122300000X
License State Massachusetts
License Number MN0655223C
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According to our database, Family And Laser Dentistry NPI is 1790951101, taxonomy code is 122300000X and license number is MN0655223C, license state is located at Massachusetts. Family And Laser Dentistry physically located at 143 Great Rd, Bedford MA, 01730-2715. NPI Number 1033115704 has the healthcare provider type.

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1790951101 NPI number is provided on an as is basis without warranty of any kind. 1790951101 is maintained by the National Plan & Provider Enumeration System. The contents of Family And Laser Dentistry are for informational purposes only.