Individual
ARCHANA LAVANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
581 PLEASANT ST, PAXTON, MA 01612-1382
(508) 755-2905
(508) 798-8155
Mailing address
581 PLEASANT ST, PAXTON, MA 01612-1382
(508) 755-2905
(508) 798-8155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20126
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301071
—
MA
Enumeration date
03/28/2006
Last updated
10/06/2015
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