Lawrence Smile Design Llc | |
171 S Broadway Lawrence MA 01843-1426 | |
(978) 989-9988 | |
(978) 989-9088 |
Full Name | Lawrence Smile Design Llc |
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Speciality | Dentist |
Location | 171 S Broadway, Lawrence, Massachusetts |
Authorized Official Name and Position | Celia Huang (DENTIST / OWER) |
Authorized Official Contact | 9789899988 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lawrence Smile Design Llc 171 S Broadway Lawrence MA 01843-1426 Ph: (978) 989-9988 | Lawrence Smile Design Llc 171 S Broadway Lawrence MA 01843-1426 Ph: (978) 989-9988 |
NPI Number | 1629557178 |
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Provider Enumeration Date | 08/07/2018 |
Last Update Date | 10/04/2021 |
Medicare PECOS PAC ID | 1355749250 |
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Medicare Enrollment ID | O20211007000246 |
Identifier | Type | State | Issuer |
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1629557178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | DN1856884 (Massachusetts) | Primary |
Provider Name | Celia Fei Huang |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1447639034 PECOS PAC ID: 0446658603 Enrollment ID: I20211004002104 |
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