| Canton Dental Group | |
|
608 Washington St Canton MA 02021-3032 | |
| (781) 828-1788 | |
| (781) 828-2788 |
| Full Name | Canton Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 608 Washington St, Canton, Massachusetts |
| Authorized Official Name and Position | Ghazwan F Ghazi (PRESIDENT) |
| Authorized Official Contact | 7818281788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Dental Group 608 Washington St Canton MA 02021-3032 Ph: (781) 828-1788 | Canton Dental Group 608 Washington St Canton MA 02021-3032 Ph: (781) 828-1788 |
| NPI Number | 1487869277 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487869277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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