| Avalon Dental Llc | |
|
160 Cambridge St Unit H Cambridge MA 02141-1819 | |
| (617) 374-9500 | |
| Not Available |
| Full Name | Avalon Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 160 Cambridge St Unit H, Cambridge, Massachusetts |
| Authorized Official Name and Position | Majed Jaradeh (OWNER) |
| Authorized Official Contact | 6177339117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Dental Llc 160 Cambridge St Unit H Cambridge MA 02141-1819 Ph: (617) 374-9500 | Avalon Dental Llc 160 Cambridge St Unit H Cambridge MA 02141-1819 Ph: (617) 374-9500 |
| NPI Number | 1700342268 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700342268 | NPI | - | NPPES |
| 1093930869 | Other | MA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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