Individual
KYLE LAPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 MAIN ST, PEABODY, MA 01960-5779
(978) 422-1152
Mailing address
31 ANDERSON ST APT 6, BOSTON, MA 02114-3622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859797
MA
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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