| Courtney Lavigne Dentistry | |
|
109 Andrew Ave Suite 202 Wayland MA 01778-3156 | |
| (508) 358-2122 | |
| (508) 358-9522 |
| Full Name | Courtney Lavigne Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 Andrew Ave, Wayland, Massachusetts |
| Authorized Official Name and Position | Courtney L Lavigne (DENTIST, OWNER) |
| Authorized Official Contact | 5083582122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Lavigne Dentistry 109 Andrew Ave Suite 202 Wayland MA 01778-3156 Ph: (508) 358-2122 | Courtney Lavigne Dentistry 109 Andrew Ave Suite 202 Wayland MA 01778-3156 Ph: (508) 358-2122 |
| NPI Number | 1326453853 |
|---|---|
| Provider Enumeration Date | 06/23/2014 |
| Last Update Date | 06/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326453853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1856353 (Massachusetts) | Primary |
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