| Lux Dental Center | |
|
181 Washington St Somerville MA 02143-3137 | |
| (617) 639-5942 | |
| (888) 832-8267 |
| Full Name | Lux Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 181 Washington St, Somerville, Massachusetts |
| Authorized Official Name and Position | Abdullaibrahim Abdulwaheed (OWNER) |
| Authorized Official Contact | 6176395942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lux Dental Center 181 Washington St Somerville MA 02143-3137 Ph: () - | Lux Dental Center 181 Washington St Somerville MA 02143-3137 Ph: (617) 639-5942 |
| NPI Number | 1063025245 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063025245 | NPI | - | NPPES |
| 1851932198 | Medicaid | MA | |
| 1861878712 | Medicaid | MA | |
| 1053710400 | Medicaid | MA | |
| 1083029102 | Medicaid | MA | |
| 1235752189 | Medicaid | MA | |
| 1427424332 | Medicaid | MA | |
| 1760576250 | Medicaid | MA | |
| 1790121259 | Medicaid | MA | |
| 1801220009 | Medicaid | MA | |
| 1922668961 | Medicaid | MA | |
| 1275916116 | Medicaid | MA | |
| 1699143917 | Medicaid | MA | |
| 1578939351 | Medicaid | MA | |
| 1619347788 | Medicaid | MA | |
| 1891251559 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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