| My Dental Lawrence Pllc | |
|
My Dental Lawrence Pllc 465 South Broadway Lawrence MA 01843 | |
| (740) 215-8549 | |
| Not Available |
| Full Name | My Dental Lawrence Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | My Dental Lawrence Pllc, Lawrence, Massachusetts |
| Authorized Official Name and Position | Srinivas Desaneedi (OWNER/DENTIST) |
| Authorized Official Contact | 7402158549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Dental Lawrence Pllc 20 Balancing Rock Rd Canton MA 02021-4230 Ph: (740) 215-8549 | My Dental Lawrence Pllc My Dental Lawrence Pllc 465 South Broadway Lawrence MA 01843 Ph: (740) 215-8549 |
| NPI Number | 1578120754 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578120754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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