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General NPI Number Information
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NPI Number | 1033001383
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Entity Type | Organization
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Legal Business Name | CS DENTAL GROUP PLLC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 5 CORNERSTONE SQ STE 202
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City | WESTFORD
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State | MA
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Zip | 01886-1593
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Country | US
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Telephone | 978-692-6012
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Fax |
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Provider Business Mailing Address
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Address Line | 104 PHILIP FARM RD
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City | CONCORD
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State | MA
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Zip | 01742-2712
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / MEMBER
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Name | DR. LEONID KHARIN
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Credential | DMD
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Telephone | 617-953-9358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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