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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