# GARRETT K PISKOR, DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962414748
- **Authorized official:** DR. GARRETT K PISKOR DMD (OWNER)
- **Authorized official phone:** (617) 547-4958

## Contact information

- **Practice address:** 57 BEDFORD ST, SUITE 208, LEXINGTON, MA 02420-4500
- **Practice address phone:** (781) 862-1900
- **Practice address fax:** (781) 862-1817
- **Mailing address:** 57 BEDFORD ST, SUITE 208, LEXINGTON, MA 02420-4500
- **Mailing address phone:** (781) 862-1900
- **Mailing address fax:** (781) 862-1817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 126900000X | Dental Laboratory Technician | 12217 | MA | — |
| 126900000X | Dental Laboratory Technician | 15316 | MA | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 01/14/2013