Organization
LEXINGTON ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY R PATTERSON DMD, MSD (PRESIDENT/OWNER)
(781) 862-2625
Entity
Organization
Contact information
Practice address
1 WALLIS CT, LEXINGTON, MA 02421-5403
(781) 862-2625
(781) 862-9169
Mailing address
1 WALLIS CT, LEXINGTON, MA 02421-5403
(781) 862-2625
(781) 862-9169
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19576
MA
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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