| Lt Dental, P.c. | |
|
1470 Dorchester Ave. Dorchester MA 02122 | |
| (617) 997-3826 | |
| Not Available |
| Full Name | Lt Dental, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1470 Dorchester Ave., Dorchester, Massachusetts |
| Authorized Official Name and Position | Alice Y. Lwin (OWNER) |
| Authorized Official Contact | 6179972640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lt Dental, P.c. 1470 Dorchester Ave. Dorchester MA 02122 Ph: (617) 997-3826 | Lt Dental, P.c. 1470 Dorchester Ave. Dorchester MA 02122 Ph: (617) 997-3826 |
| NPI Number | 1205066909 |
|---|---|
| Provider Enumeration Date | 07/16/2009 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205066909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20130 (Massachusetts) | Primary |
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