| Total Dental | |
|
100 Amesbury St Ste 202 Lawrence MA 01840-1321 | |
| (917) 691-1775 | |
| Not Available |
| Full Name | Total Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 Amesbury St Ste 202, Lawrence, Massachusetts |
| Authorized Official Name and Position | Vick Thakkar (DENTIST) |
| Authorized Official Contact | 9176911775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Dental 3600 Mystic Valley Pkwy Apt W501 Medford MA 02155-7605 Ph: (917) 691-1775 | Total Dental 100 Amesbury St Ste 202 Lawrence MA 01840-1321 Ph: (917) 691-1775 |
| NPI Number | 1912576885 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912576885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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