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Organization

BB DOG LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE LURIA LICENSED OPTICIAN (OWNER)
(617) 964-3366
Entity
Organization

Contact information

Practice address
336 WALNUT ST, NEWTONVILLE, MA 02460-1923
(617) 964-3366
(617) 964-3380
Mailing address
336 WALNUT ST, NEWTONVILLE, MA 02460-1923
(617) 964-3366
(617) 964-3380

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4810
MA

Other

Enumeration date
07/16/2013
Last updated
07/16/2013
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