| Luminous Dental Llc | |
|
63 Mount Auburn St Watertown MA 02472-3924 | |
| (617) 923-8159 | |
| Not Available |
| Full Name | Luminous Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 63 Mount Auburn St, Watertown, Massachusetts |
| Authorized Official Name and Position | Shari Mathew (DENTIST) |
| Authorized Official Contact | 7816409810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Dental Llc 63 Mount Auburn St Watertown MA 02472-3924 Ph: (617) 923-8159 | Luminous Dental Llc 63 Mount Auburn St Watertown MA 02472-3924 Ph: (617) 923-8159 |
| NPI Number | 1487118188 |
|---|---|
| Provider Enumeration Date | 01/27/2019 |
| Last Update Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487118188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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