Omni Dentix & Assoc. | |
3850 Mystic Valley Pkwy Suite 20 Medford MA 02155-6901 | |
(781) 396-6613 | |
(781) 395-4292 |
Full Name | Omni Dentix & Assoc. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 3850 Mystic Valley Pkwy, Medford, Massachusetts |
Authorized Official Name and Position | Mohammed E Mobasherat (PRESIDENT) |
Authorized Official Contact | 7813966613 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Omni Dentix & Assoc. 3850 Mystic Valley Pkwy Suite 20 Medford MA 02155-6901 Ph: (781) 396-6613 | Omni Dentix & Assoc. 3850 Mystic Valley Pkwy Suite 20 Medford MA 02155-6901 Ph: (781) 396-6613 |
NPI Number | 1104088491 |
---|---|
Provider Enumeration Date | 06/27/2008 |
Last Update Date | 06/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104088491 | NPI | - | NPPES |
0263702 | Medicaid | MA | |
0205401 | Medicaid | MA | |
0268361 | Medicaid | MA |
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