Davis Square Dental Group

NPI #1629341540 in Somerville, Massachusetts

Provider Information

NPI Number: 1629341540
Entity Type: Organization
Organization Name: Davis Square Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 23, 2012
Last Updated: Feb 23, 2012

Practice Location

Address: 30 COLLEGE AVE
Address 2: SUITE 300
City: Somerville
State: Massachusetts
ZIP Code: 02144-1914
Phone: (617) 764-2247

Authorized Official

Name: DR. MOUHAB RIZKALLAH
Title: PRESIDENT
Phone: (617) 872-4499

Specialties & Taxonomy Codes

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

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