| Nandhavan Dental P Llc | |
|
106 Main St Ste 5 Stoneham MA 02180-3362 | |
| (781) 438-1003 | |
| (781) 435-1996 |
| Full Name | Nandhavan Dental P Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 Main St Ste 5, Stoneham, Massachusetts |
| Authorized Official Name and Position | Phuong Thanh Nguyen Nhu (OWNER) |
| Authorized Official Contact | 7814381003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nandhavan Dental P Llc 106 Main St Ste 5 Stoneham MA 02180-3362 Ph: (781) 438-1003 | Nandhavan Dental P Llc 106 Main St Ste 5 Stoneham MA 02180-3362 Ph: (781) 438-1003 |
| NPI Number | 1699313940 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 02/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699313940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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