| Dental Partners Lawrence | |
|
525 S Broadway Lawrence MA 01843-3667 | |
| (978) 682-0641 | |
| Not Available |
| Full Name | Dental Partners Lawrence |
|---|---|
| Speciality | Dentist |
| Location | 525 S Broadway, Lawrence, Massachusetts |
| Authorized Official Name and Position | Ramesh Izedian (DENTIST) |
| Authorized Official Contact | 5086768268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Partners Lawrence 673 Robeson St Fall River MA 02720-5425 Ph: (508) 676-8268 | Dental Partners Lawrence 525 S Broadway Lawrence MA 01843-3667 Ph: (978) 682-0641 |
| NPI Number | 1285160408 |
|---|---|
| Provider Enumeration Date | 05/08/2017 |
| Last Update Date | 05/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285160408 | NPI | - | NPPES |
| 0280712 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18174 (Massachusetts) | Primary |
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