Advanced Dental Spa
NPI #1164621793 in New Bedford, Massachusetts
Provider Information
- NPI Number
- 1164621793
- Entity Type
- Organization
- Organization Name
- Advanced Dental Spa
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 13, 2007
- Last Updated
- Jul 13, 2007
Practice Location
- Address
- 144 DARTMOUTH ST
- City
- New Bedford
- State
- Massachusetts
- ZIP Code
- 02740-3101
- Phone
- (774) 688-9226
Authorized Official
- Name
- DR. VIVIANNE J KHALIFE-YAZBECK, DDS
- Title
- PRESIDENT
- Phone
- (774) 688-9226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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