Mass Ave Dental
NPI #1518139724 in Lunenburg, Massachusetts
Provider Information
- NPI Number
- 1518139724
- Entity Type
- Organization
- Organization Name
- Mass Ave Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 27, 2008
- Last Updated
- Mar 27, 2008
Practice Location
- Address
- 312 MASS AVE
- City
- Lunenburg
- State
- Massachusetts
- ZIP Code
- 01462-1219
- Phone
- (978) 582-0800
Authorized Official
- Name
- AHMED EL SAMRA
- Title
- DENTIST
- Phone
- (978) 582-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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