Organization
LAKESIDE DENTAL DESIGNS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH CHI DINH DMD (OWNER / GENERAL DENTIST)
(978) 319-9915
Entity
Organization
Contact information
Practice address
637 LOWELL ST STE A-90, PEABODY, MA 01960-2318
(978) 319-9915
Mailing address
49 WARWICK ST, LOWELL, MA 01851-3720
(978) 866-6481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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