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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