Organization
LEXINGTON PROSTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERT CUSANELLO D.M.D. (PARTNER/DENTIST)
(781) 862-8220
Entity
Organization
Contact information
Practice address
803 MASS AVE, LEXINGTON, MA 02420-3918
(781) 862-8220
(781) 862-3050
Mailing address
803 MASS AVE, LEXINGTON, MA 02420-3918
(781) 862-8220
(781) 862-3050
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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