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Organization

MY DENTIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IGOR A LOZADA I DDS, DMD (OWNER)
(617) 566-1524
Entity
Organization

Contact information

Practice address
1297 BEACON ST, BROOKLINE, MA 02446-5242
(617) 566-1524
(617) 566-1514
Mailing address
1297 BEACON ST, BROOKLINE, MA 02446-5242
(617) 566-1524
(617) 566-1514

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
19569
MA
1223G0001X
General Practice Dentistry
Primary
20430
MA
1223P0300X
Periodontics
19177
MA
1223P0700X
Prosthodontics
20430
MA

Other

Enumeration date
11/06/2006
Last updated
09/11/2025
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