Organization
LUX DENTAL FOR KIDS
Active
Other names
LUX DENTAL FOR KIDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULLAIBRAHIM ABDULWAHEED (PRESIDENT)
(781) 558-5092
Entity
Organization
Contact information
Practice address
1201 BROADWAY, ROOM E215, SAUGUS, MA 01906-4177
(781) 558-5092
(206) 203-2845
Mailing address
505 WASHINGTON ST, QUINCY, MA 02169-5834
(617) 756-1928
(206) 203-2845
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20827
MA
Other
Enumeration date
08/04/2012
Last updated
06/27/2013
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