| The Canton Dental Collaborative | |
|
95 Washington Street Suite 472 Canton MA 02021 | |
| (781) 821-2120 | |
| (781) 821-2433 |
| Full Name | The Canton Dental Collaborative |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 95 Washington Street, Canton, Massachusetts |
| Authorized Official Name and Position | Adib Ibrahim Lakis (OWNER) |
| Authorized Official Contact | 7818212120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Canton Dental Collaborative 95 Washington Street Suite 472 Canton MA 02021 Ph: (781) 821-2120 | The Canton Dental Collaborative 95 Washington Street Suite 472 Canton MA 02021 Ph: (781) 821-2120 |
| NPI Number | 1922158732 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922158732 | NPI | - | NPPES |
| X10837 | Other | MA | BLUE CROSS OF MASS |
| 380796 | Other | MA | HPHC |
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