Organization
DAVIS SQUARE DENTAL SPECIALISTS LLC
Active
Other names
T-Station Dental of Lawrence
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KITIA GONZAGA (OFFICE MANAGER)
(978) 975-1000
Entity
Organization
Contact information
Practice address
335 COMMON ST, LAWRENCE, MA 01840-1262
(978) 975-1000
(978) 975-1004
Mailing address
335 COMMON ST, LAWRENCE, MA 01840-1262
(978) 975-1000
(978) 975-1004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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