| Community Dentists | |
|
1484 Gorham St Lowell MA 01852-5241 | |
| (978) 459-4949 | |
| (978) 453-2828 |
| Full Name | Community Dentists |
|---|---|
| Speciality | Dentist |
| Location | 1484 Gorham St, Lowell, Massachusetts |
| Authorized Official Name and Position | Lilian Coralia Desjardins (PRESIDENT) |
| Authorized Official Contact | 9784594949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dentists 1484 Gorham St Lowell MA 01852-5241 Ph: (978) 459-4949 | Community Dentists 1484 Gorham St Lowell MA 01852-5241 Ph: (978) 459-4949 |
| NPI Number | 1003060575 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 08/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003060575 | NPI | - | NPPES |
| 9752170 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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