Organization
LYNNFIELD PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUBERT J PARK DMD, MPH (PRESIDENT)
(617) 895-6700
Entity
Organization
Contact information
Practice address
6 KIMBALL LN STE 140, LYNNFIELD, MA 01940-2667
(617) 895-6700
Mailing address
9 MONTAGUE ST UNIT C, CAMBRIDGE, MA 02139-3721
(617) 895-6700
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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