Phuongdao Dmd LLC

NPI #1003176512 in Everett, Massachusetts

Provider Information

NPI Number: 1003176512
Entity Type: Organization
Organization Name: Phuongdao Dmd LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 18, 2012
Last Updated: May 18, 2012

Practice Location

Address: 910 BROADWAY FL 1
City: Everett
State: Massachusetts
ZIP Code: 02149-3126
Phone: (617) 389-8317

Authorized Official

Name: DR. PHUONG THI DAO, D.M.D
Title: OWNER
Phone: (617) 389-8317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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