Davis Square Dental Specialists LLC
NPI #1124664537 in Lowell, Massachusetts
Provider Information
- NPI Number
- 1124664537
- Entity Type
- Organization
- Organization Name
- Davis Square Dental Specialists LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 20, 2019
- Last Updated
- Nov 20, 2019
Practice Location
- Address
- 710 CHELMSFORD ST
- City
- Lowell
- State
- Massachusetts
- ZIP Code
- 01851-5101
- Phone
- (978) 454-0774
Authorized Official
- Name
- MRS. JULIANA MASIELLO
- Title
- CORPORATE MANAGER
- Phone
- (617) 591-9999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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