Individual
SREYNEANG LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2000
Mailing address
13 RIO VISTA ST, NORTH BILLERICA, MA 01862-2901
(781) 460-8451
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DA10398
MA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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