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Individual

DR. SAMUEL LU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
50 HOLYOKE ST, HOLYOKE, MA 01040-2709
(413) 538-7400
Mailing address
65 MAGNOLIA CIR, LONGMEADOW, MA 01106-2524
(413) 567-1688

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19874
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0299987
MA
Enumeration date
07/07/2006
Last updated
07/08/2007
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