| Lux Dental For Kids | |
|
1201 Broadway Room E215 Saugus MA 01906-4177 | |
| (781) 558-5092 | |
| (206) 203-2845 |
| Full Name | Lux Dental For Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1201 Broadway, Saugus, Massachusetts |
| Authorized Official Name and Position | Abdullaibrahim Abdulwaheed (PRESIDENT) |
| Authorized Official Contact | 7815585092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lux Dental For Kids 505 Washington St Quincy MA 02169-5834 Ph: (617) 756-1928 | Lux Dental For Kids 1201 Broadway Room E215 Saugus MA 01906-4177 Ph: (781) 558-5092 |
| NPI Number | 1417204884 |
|---|---|
| Provider Enumeration Date | 08/04/2012 |
| Last Update Date | 06/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417204884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 20827 (Massachusetts) | Primary |
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