Organization
ACTON PEDIATRIC DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN B LEE D.M.D. (PRESIDENT)
(978) 635-1000
Entity
Organization
Contact information
Practice address
60 GREAT RD, ACTON, MA 01720-5681
(978) 635-1000
Mailing address
60 GREAT RD, ACTON, MA 01720-5681
(978) 635-1000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18806
MA
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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