Organization
LYNN FAMILY DENTAL AND ORTHODONTICS PC
Active
Other names
ORTHODONTICS, SLEEP APNEA AND SNORE RELIEF CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEETU BANSAL DMD (OWNER)
(617) 275-6306
Entity
Organization
Contact information
Practice address
123 REVERE ST, REVERE, MA 02151-4439
(617) 401-8298
Mailing address
123 REVERE ST, REVERE, MA 02151-4439
(617) 401-8298
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
125K00000X
Advanced Practice Dental Therapist
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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