Lee Family Dentistry | |
17 Franklin St Lee MA 01238-1629 | |
(413) 243-0098 | |
(413) 243-2663 |
Full Name | Lee Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 17 Franklin St, Lee, Massachusetts |
Authorized Official Name and Position | Michael George Dominov (PRESIDENT) |
Authorized Official Contact | 4132430098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lee Family Dentistry 17 Franklin St Lee MA 01238-1629 Ph: (413) 243-0098 | Lee Family Dentistry 17 Franklin St Lee MA 01238-1629 Ph: (413) 243-0098 |
NPI Number | 1982803078 |
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Provider Enumeration Date | 07/17/2007 |
Last Update Date | 07/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982803078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 16758 (Massachusetts) | Primary |
C. Jones Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Park St Ste 6, Lee, MA 01238 Phone: 413-243-1222 Fax: 413-243-3915 | |
Raymond J Wise Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Park Plz, Lee, MA 01238 Phone: 413-243-1222 Fax: 413-243-3915 |