Assembly Square Family Dental

NPI #1538408745 in Somerville, Massachusetts

Provider Information

NPI Number: 1538408745
Entity Type: Organization
Organization Name: Assembly Square Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 7, 2013
Last Updated: Feb 12, 2013

Practice Location

Address: 5 MIDDLESEX AVE
Address 2: SUITE 305, 3RD FLOOR
City: Somerville
State: Massachusetts
ZIP Code: 02145-1102
Phone: (617) 764-1781

Authorized Official

Name: SANJEEVAN VIRK, DMD
Title: MANAGER
Phone: (617) 764-1781

Specialties & Taxonomy Codes

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

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