S & Y Dental PC
Clinic/Center, Dental in Woburn, MA. Organization (NPI-2).
NPI number1497460331
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1497460331
- Entity type
- Organization (NPI-2)
- Legal business name
- S & Y Dental PC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2023
- Certification date
- Jan 15, 2023
- Last updated
- Jan 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- S & Y Family Dental (Doing Business As)
Practice location
576 Main StWoburn, MA 01801-7130
Phone 754-234-6971
Mailing address
576 Main StWoburn, MA 01801-7130
Phone 754-234-6971
Authorized official
Shadi Elmekkawi
President
7542346971
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