| Lexington Implant And Restorative Dentistry | |
|
803 Massachusetts Ave Lexington MA 02420-3918 | |
| (781) 862-8223 | |
| Not Available |
| Full Name | Lexington Implant And Restorative Dentistry |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 803 Massachusetts Ave, Lexington, Massachusetts |
| Authorized Official Name and Position | Krista Noel Manickas (OWNER) |
| Authorized Official Contact | 7818628223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Implant And Restorative Dentistry 803 Massachusetts Ave Lexington MA 02420-3918 Ph: (781) 862-8223 | Lexington Implant And Restorative Dentistry 803 Massachusetts Ave Lexington MA 02420-3918 Ph: (781) 862-8223 |
| NPI Number | 1619446713 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 11/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619446713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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