| Lumiere Dental Spa, Llc | |
|
495 Sea St Quincy MA 02169-2742 | |
| (617) 847-1400 | |
| (617) 847-1500 |
| Full Name | Lumiere Dental Spa, Llc |
|---|---|
| Speciality | Dentist |
| Location | 495 Sea St, Quincy, Massachusetts |
| Authorized Official Name and Position | Neda Hovaizi (DENTIST) |
| Authorized Official Contact | 4345315817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumiere Dental Spa, Llc 495 Sea St Quincy MA 02169-2742 Ph: (617) 847-1400 | Lumiere Dental Spa, Llc 495 Sea St Quincy MA 02169-2742 Ph: (617) 847-1400 |
| NPI Number | 1629346499 |
|---|---|
| Provider Enumeration Date | 12/08/2011 |
| Last Update Date | 12/08/2011 |
| Medicare PECOS PAC ID | 8426332982 |
|---|---|
| Medicare Enrollment ID | O20240530000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629346499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1855605 (Massachusetts) | Primary |
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