Organization
CENTRAL DENTAL OF LOWELL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOANE NGUYEN DMD (PRESIDENT)
(978) 459-6262
Entity
Organization
Contact information
Practice address
159 CENTRAL STREET, LOWELL, MA 01852
(978) 459-6262
(978) 458-0358
Mailing address
159 CENTRAL STREET, LOWELL, MA 01852
(978) 459-6262
(978) 458-0358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280577
—
MA
05
—
9784853
—
MA
Enumeration date
11/22/2006
Last updated
08/22/2020
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