| Medford Dental Associates | |
|
101 Main St Ste 206 Medford MA 02155-4530 | |
| (781) 395-5545 | |
| (781) 396-6935 |
| Full Name | Medford Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Main St Ste 206, Medford, Massachusetts |
| Authorized Official Name and Position | Lorenzo Lepore (PRESIDENT) |
| Authorized Official Contact | 7813955545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medford Dental Associates 101 Main St Ste 206 Medford MA 02155-4530 Ph: (781) 395-5545 | Medford Dental Associates 101 Main St Ste 206 Medford MA 02155-4530 Ph: (781) 395-5545 |
| NPI Number | 1528124807 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528124807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13727 (Massachusetts) | Primary |
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