| Medway Family Dental Pllc | |
|
131 Main St Medway MA 02053-1576 | |
| (508) 533-7461 | |
| (508) 533-7455 |
| Full Name | Medway Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 131 Main St, Medway, Massachusetts |
| Authorized Official Name and Position | Edmond Massabni (DDS/OWNER) |
| Authorized Official Contact | 5084737632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medway Family Dental Pllc 131 Main St Medway MA 02053-1576 Ph: (508) 533-7461 | Medway Family Dental Pllc 131 Main St Medway MA 02053-1576 Ph: (508) 533-7461 |
| NPI Number | 1750872636 |
|---|---|
| Provider Enumeration Date | 05/25/2018 |
| Last Update Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750872636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20694 (Massachusetts) | Primary |
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