Organization
AMITABHA LALA DDS PH.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT LALA DDS PHD (ORTHODONTIST)
(978) 454-0977
Entity
Organization
Contact information
Practice address
517 ROGERS ST, LOWELL, MA 01852-3826
(978) 454-0977
(978) 458-8776
Mailing address
517 ROGERS ST, LOWELL, MA 01852-3826
(978) 454-0977
(978) 458-8776
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20359
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11622
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/04/2007
Last updated
06/17/2008
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