| Sandy Lor Dmd Llc | |
| 
					1010 Main St Ste 6 Holden MA 01520-1237  | |
| (508) 829-3292 | |
| (508) 829-9323 | 
| Full Name | Sandy Lor Dmd Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1010 Main St Ste 6, Holden, Massachusetts | 
| Authorized Official Name and Position | Sandy Lor (DENTIST/OWNER) | 
| Authorized Official Contact | 9785028848 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sandy Lor Dmd Llc 1088 W Boylston St Apt C Worcester MA 01606-2070 Ph: (978) 502-8848  | Sandy Lor Dmd Llc 1010 Main St Ste 6 Holden MA 01520-1237 Ph: (508) 829-3292  | 
| NPI Number | 1043988470 | 
|---|---|
| Provider Enumeration Date | 08/31/2021 | 
| Last Update Date | 09/02/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043988470 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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