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Phuongdao Dmd Llc
General Practice Dentistry in Everett, Massachusetts
NPI 1003176512

Phuongdao Dmd Llc is a General Practice Dentistry based in Everett, MA and is specialized in General Practice. Phuongdao Dmd Llc practices in Everett, MA. The NPI Number for Phuongdao Dmd Llc is 1003176512 and holds a License No. 17573 (Massachusetts).

The current practice location address for Phuongdao Dmd Llc is 910 Broadway Fl 1, Everett, MA and can be reached out via phone at 617-389-8317.

Location: 910 Broadway Fl 1, Everett, MA, 02149-3126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003176512
Provider Name
Phuongdao Dmd Llc
Credential
Provider Entity Type
Organization
Address
910 Broadway Fl 1, Everett, MA, 02149-3126
Phone Number
617-389-8317
Fax Number
Provider Enumeration Date
05/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X06225 01 MA BLUE CROSS BLUE SHIELD
0276685 05 MA
institution
Provider Business Practice Location Address Details
Address
910 Broadway Fl 1
City
Everett
State
Massachusetts
Zip
02149-3126
Phone Number
617-389-8317
Fax Number
person
Provider Business Mailing Address Details
Address
910 Broadway Fl 1
City
Everett
State
Massachusetts
Zip
02149-3126
Phone Number
617-389-8317
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
17573 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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