| Union St Family Dental Pc | |
|
175 Union St Lynn MA 01901-1310 | |
| (781) 592-9200 | |
| (781) 592-9250 |
| Full Name | Union St Family Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 175 Union St, Lynn, Massachusetts |
| Authorized Official Name and Position | Julia O Faigel (OWNER) |
| Authorized Official Contact | 7815929200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union St Family Dental Pc 175 Union St Lynn MA 01901-1310 Ph: (781) 592-9200 | Union St Family Dental Pc 175 Union St Lynn MA 01901-1310 Ph: (781) 592-9200 |
| NPI Number | 1164690814 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164690814 | NPI | - | NPPES |
| 0203980 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20485 (Massachusetts) | Primary |
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