Shawsheen Family Dental

NPI #1982907762 in Tewksbury, Massachusetts

Provider Information

NPI Number: 1982907762
Entity Type: Organization
Organization Name: Shawsheen Family Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 16, 2010
Last Updated: Dec 16, 2010

Practice Location

Address: 1455 MAIN ST
City: Tewksbury
State: Massachusetts
ZIP Code: 01876-4769
Phone: (978) 851-7112

Authorized Official

Name: CARLA BUSTILLO-GONZALEZ, D.D.S.
Title: OWNER
Phone: (978) 851-7112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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