| Luminous Dentistry LLC | |
|
544 Salem St Wakefield MA 01880-6245 | |
| (201) 417-8417 | |
| Not Available |
| Full Name | Luminous Dentistry LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 544 Salem St, Wakefield, Massachusetts |
| Authorized Official Name and Position | Mohammed Baseer Ahmed (DENTIST) |
| Authorized Official Contact | 2014178417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Dentistry LLC 544 Salem St Wakefield MA 01880-6245 Ph: (201) 417-8417 | Luminous Dentistry LLC 544 Salem St Wakefield MA 01880-6245 Ph: (201) 417-8417 |
| NPI Number | 1710692702 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710692702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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