| Lawrence Smile Design Llc | |
|
171 S Broadway Lawrence MA 01843-1426 | |
| (978) 989-9988 | |
| (978) 989-9088 |
| Full Name | Lawrence Smile Design Llc |
|---|---|
| Speciality | Dentist |
| Location | 171 S Broadway, Lawrence, Massachusetts |
| Authorized Official Name and Position | Celia Huang (DENTIST / OWER) |
| Authorized Official Contact | 9789899988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Smile Design Llc 171 S Broadway Lawrence MA 01843-1426 Ph: (978) 989-9988 | Lawrence Smile Design Llc 171 S Broadway Lawrence MA 01843-1426 Ph: (978) 989-9988 |
| NPI Number | 1629557178 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 10/04/2021 |
| Medicare PECOS PAC ID | 1355749250 |
|---|---|
| Medicare Enrollment ID | O20211007000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629557178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1856884 (Massachusetts) | Primary |
| Provider Name | Celia Fei Huang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447639034 PECOS PAC ID: 0446658603 Enrollment ID: I20211004002104 |
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