Venusdentalpc
NPI #1619351269 in Maynard, Massachusetts
Provider Information
- NPI Number
- 1619351269
- Entity Type
- Organization
- Organization Name
- Venusdentalpc
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jul 14, 2015
- Last Updated
- Jul 14, 2015
Practice Location
- Address
- 63 GREAT RD STE 105
- City
- Maynard
- State
- Massachusetts
- ZIP Code
- 01754-2097
- Phone
- (978) 298-5281
Authorized Official
- Name
- AZADEH SHAHAB
- Title
- DENTISTOWNER
- Phone
- (978) 298-5281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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