Organization

Sambath Keo, Dmd, Inc

General Practice Dentistry in Lowell, MA(View on Map)

Legal Business Name

Sambath Keo, Dmd, Inc

NPI Number

1366614174

NPI Type

Organization

Enumeration Date

04/01/2008

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

17863

Contact
Information

Purpose

Mailing
Location

Address

50 WOOD ST
50 WOOD ST

City

Lowell
Lowell

State

MA
MA

Postal Code

01851-1519
01851-1519

Country

US
US

Telephone Number

(978) 441-9991
(978) 441-9991

Authorized Official

Name

Dr. Sambath Keo

Title or Position

PRESIDENT

Telephone Number

(978) 441-9991

Identifiers

Identifier

0273732

Identifier State

MA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/01/2008

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