Lexington Family Dental Care | |
62 Massachusetts Ave Lexington MA 02420-4020 | |
(781) 863-9826 | |
(781) 863-9829 |
Full Name | Lexington Family Dental Care |
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Speciality | Dentist - General Practice |
Location | 62 Massachusetts Ave, Lexington, Massachusetts |
Authorized Official Name and Position | Galina Gitlin (PRESIDENT) |
Authorized Official Contact | 7818639826 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lexington Family Dental Care 62 Massachusetts Ave Lexington MA 02420-4020 Ph: (781) 863-9826 | Lexington Family Dental Care 62 Massachusetts Ave Lexington MA 02420-4020 Ph: (781) 863-9826 |
NPI Number | 1912327362 |
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Provider Enumeration Date | 04/24/2014 |
Last Update Date | 04/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912327362 | NPI | - | NPPES |
1417038498 | Other | MA | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 20831 (Massachusetts) | Primary |
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