Organization
LUMINOUS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARI MATHEW DDS (DENTIST)
(781) 640-9810
Entity
Organization
Contact information
Practice address
63 MOUNT AUBURN ST, WATERTOWN, MA 02472-3924
(617) 923-8159
Mailing address
63 MOUNT AUBURN ST, WATERTOWN, MA 02472-3924
(617) 923-8159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2019
Last updated
12/17/2019
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