41 State Rd, LLC
NPI #1144701020 in North Dartmouth, Massachusetts
Provider Information
- NPI Number
- 1144701020
- Entity Type
- Organization
- Organization Name
- 41 State Rd, LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Aug 28, 2018
- Last Updated
- Nov 15, 2024
Practice Location
- Address
- 1379 TUCKER ROAD
- City
- North Dartmouth
- State
- Massachusetts
- ZIP Code
- 02747
- Phone
- (508) 993-9105
Authorized Official
- Name
- MAHMOUD HAMAD, DMD
- Title
- PERIODONTIST/OWNER
- Phone
- (508) 993-9105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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