| Revalex Pllc | |
|
28 Washington St Leominster MA 01453-3126 | |
| (781) 405-1879 | |
| Not Available |
| Full Name | Revalex Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 28 Washington St, Leominster, Massachusetts |
| Authorized Official Name and Position | Jacqueline Andrea Lucero (GENERAL DENTIST) |
| Authorized Official Contact | 7814051879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revalex Pllc 126 Lyman Rd Berlin MA 01503-1804 Ph: (781) 405-1879 | Revalex Pllc 28 Washington St Leominster MA 01453-3126 Ph: (781) 405-1879 |
| NPI Number | 1891388633 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 02/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891388633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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