Organization

Advanced Dental Spa

General Practice Dentistry in New Bedford, MA(View on Map)

Legal Business Name

Advanced Dental Spa

NPI Number

1164621793

NPI Type

Organization

Enumeration Date

07/13/2007

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

21657

Contact
Information

Purpose

Mailing
Location

Address

140 DARTMOUTH STREET
144 DARTMOUTH ST

City

New Bedford
New Bedford

State

MA
MA

Postal Code

02740
02740-3101

Country

US
US

Telephone Number

(774) 688-9226
(774) 688-9226

Authorized Official

Name

Dr. Vivianne Khalife-yazbeck

Title or Position

PRESIDENT

Telephone Number

(774) 688-9226

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

Data last updated by provider on 07/13/2007

Provider Address

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Organization

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Organization

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