Organization
LEXINGTON DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE MATHEUS (CREDENTIALING MANAGER)
(781) 562-0457
Entity
Organization
Contact information
Practice address
35 BEDFORD ST STE 110, LEXINGTON, MA 02420-4320
(781) 674-9995
(978) 922-6727
Mailing address
35 BEDFORD ST STE 16, LEXINGTON, MA 02420-4440
(781) 863-0096
(978) 922-6727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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