| Clarke Street Family Dental Llc | |
|
16 Clarke St Lexington MA 02421-4988 | |
| (781) 861-0608 | |
| (781) 861-0608 |
| Full Name | Clarke Street Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 16 Clarke St, Lexington, Massachusetts |
| Authorized Official Name and Position | Silva Andonyan (DENTIST) |
| Authorized Official Contact | 7818610608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarke Street Family Dental Llc 16 Clarke St Lexington MA 02421-4988 Ph: (781) 861-0608 | Clarke Street Family Dental Llc 16 Clarke St Lexington MA 02421-4988 Ph: (781) 861-0608 |
| NPI Number | 1841591740 |
|---|---|
| Provider Enumeration Date | 11/08/2010 |
| Last Update Date | 11/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841591740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18996 (Massachusetts) | Primary |
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