| Main Street Dentistry And Orthodontics | |
|
251 Main St Medford MA 02155-5629 | |
| (781) 396-6900 | |
| Not Available |
| Full Name | Main Street Dentistry And Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 251 Main St, Medford, Massachusetts |
| Authorized Official Name and Position | Farzad Thomas Parsi (OWNER/MEMBER) |
| Authorized Official Contact | 6036866221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dentistry And Orthodontics 251 Main St Medford MA 02155-5629 Ph: (781) 396-6900 | Main Street Dentistry And Orthodontics 251 Main St Medford MA 02155-5629 Ph: (781) 396-6900 |
| NPI Number | 1568821999 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568821999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN21006 (Massachusetts) | Primary |
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