NPI 1013200443

Awesome Kids Teeth

Organisation Pediatric Dentistry Framingham, MA

Practice location

Address: 55 Main St Unit # 3, Framingham, MA 01702-2934
Phone: (508) 875-9600
Fax: (508) 875-9604

Authorised official

Name: Kamar Baloul
Title: Pediatric Dentist
Phone: (508) 875-9600

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 20603 (MA)

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Registry record

NPI: 1013200443
Entity type: Organization
NPI issued: 18 May 2011
Record last updated: 18 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.