| Lia Dental, Pc | |
|
79 Lynnfield St Peabody MA 01960-5201 | |
| (917) 892-3625 | |
| Not Available |
| Full Name | Lia Dental, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 79 Lynnfield St, Peabody, Massachusetts |
| Authorized Official Name and Position | Shahnaaz Nistar (DENTIST/OWNER) |
| Authorized Official Contact | 9178923625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lia Dental, Pc 61 Dudley St Medford MA 02155-4007 Ph: (917) 892-3625 | Lia Dental, Pc 79 Lynnfield St Peabody MA 01960-5201 Ph: (917) 892-3625 |
| NPI Number | 1295439768 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295439768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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