Organization
LEXINGTON PERIODONTICS & IMPLANTOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA GALLANT (OFFICE MANAGER)
(978) 263-1313
Entity
Organization
Contact information
Practice address
33 BEDFORD ST, SUITE 15, LEXINGTON, MA 02420-4319
(781) 861-7777
(781) 861-0141
Mailing address
33 BEDFORD ST, SUITE 15, LEXINGTON, MA 02420-4319
(781) 861-7777
(781) 861-0141
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10905
MA
Other
Enumeration date
03/22/2007
Last updated
03/28/2024
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