Family Orthodontics Of Hudson | |
118 Forest Ave Suite 202 Hudson MA 01749-2858 | |
(978) 562-1234 | |
(978) 562-3310 |
Full Name | Family Orthodontics Of Hudson |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 118 Forest Ave, Hudson, Massachusetts |
Authorized Official Name and Position | Lakshmi P Thalanki (PRESIDENT) |
Authorized Official Contact | 9785621234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Orthodontics Of Hudson 118 Forest Ave, Suite 202 Hudson MA 01749 Ph: (978) 562-1234 | Family Orthodontics Of Hudson 118 Forest Ave Suite 202 Hudson MA 01749-2858 Ph: (978) 562-1234 |
NPI Number | 1457523052 |
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Provider Enumeration Date | 03/24/2008 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457523052 | NPI | - | NPPES |
0296970 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19674 (Massachusetts) | Primary |
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