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Organization
LT DENTAL, P.C.
Active
Organization
LT DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE Y. LWIN D.M.D. (OWNER)
(617) 997-2640
Entity
Organization
Contact information
Practice address
1470 DORCHESTER AVE., DORCHESTER, MA 02122
(617) 997-3826
Mailing address
1470 DORCHESTER AVE., DORCHESTER, MA 02122
(617) 997-3826
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20130
MA
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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