Individual
MARK A LERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 KNEELAND ST RM 646, BOSTON, MA 02111-1527
(617) 636-6510
Mailing address
1 KNEELAND ST RM 646, BOSTON, MA 02111-1527
(617) 636-6510
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
21698
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
21698
MA
Other
Enumeration date
10/25/2006
Last updated
04/30/2020
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