Organization
DENTAL PARTNERS LAWRENCE LLC
Active
Other names
Dental Partners Lawrence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMESH IZEDIAN (DENTIST)
(508) 676-8268
Entity
Organization
Contact information
Practice address
525 S BROADWAY, LAWRENCE, MA 01843-3667
(978) 682-0641
Mailing address
673 ROBESON ST, FALL RIVER, MA 02720-5425
(508) 676-8268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18174
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280712
—
MA
Enumeration date
05/08/2017
Last updated
05/08/2017
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