| Lp Dental, Inc. | |
| 
					990 Paradise Rd Swampscott MA 01907-1395  | |
| (978) 223-3742 | |
| Not Available | 
| Full Name | Lp Dental, Inc. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 990 Paradise Rd, Swampscott, Massachusetts | 
| Authorized Official Name and Position | Anna Pukhovitskaya (OWNER) | 
| Authorized Official Contact | 9782233742 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lp Dental, Inc. 591 E Broadway South Boston MA 02127-4404 Ph: (617) 268-5638  | Lp Dental, Inc. 990 Paradise Rd Swampscott MA 01907-1395 Ph: (978) 223-3742  | 
| NPI Number | 1700378270 | 
|---|---|
| Provider Enumeration Date | 05/31/2018 | 
| Last Update Date | 05/31/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700378270 | NPI | - | NPPES | 
| 1356358014 | Other | GENERAL DENTIST | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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