Individual
MRS. LAKSHMI BETHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
555 STATE ST, SPRINGFIELD, MA 01109-4101
(215) 421-7576
Mailing address
860HARRISON AVENUE, APT 302, BOSTON, MA 02118
(215) 421-7576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 1855963
MA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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