is a General Practice in Woburn, Massachusetts. practices all healthcare services and medical treatments related to General Practice. The NPI Number for is 1154531689. The last update date is .
's current location address is 578 Main St, Woburn, Massachusetts. You can contact this provider via phone number 7819331765. The mailing address for is 578 Main St, Woburn, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 578 Main St, Woburn, Massachusetts |
| Phone Number | 7819331765 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1154531689 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 578 Main St |
|---|---|
| City | Woburn |
| State | Massachusetts (MA) |
| Post Code | 18012924 |
| Phone Number | 7819331765 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 50-053192 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2832915 | NY | -- |
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