| Foster Street Dental, Llc | |
|
80 Foster St Unit 104 Peabody MA 01960-5953 | |
| (978) 944-4197 | |
| Not Available |
| Full Name | Foster Street Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 80 Foster St, Peabody, Massachusetts |
| Authorized Official Name and Position | Biplab Kumar Malo (PRESIDENT) |
| Authorized Official Contact | 9789444197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foster Street Dental, Llc 8 Arlington Rd Burlington MA 01803-4122 Ph: (978) 944-4197 | Foster Street Dental, Llc 80 Foster St Unit 104 Peabody MA 01960-5953 Ph: (978) 944-4197 |
| NPI Number | 1255639035 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255639035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1855026 (Massachusetts) | Primary |
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