Individual
DR. ILENE EA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
488 ESSEX ST, LAWRENCE, MA 01840-1242
(978) 975-8888
Mailing address
6 PARKHURST RD, CHELMSFORD, MA 01824-1502
(978) 551-7377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000406
MA
Other
Enumeration date
03/10/2021
Last updated
12/09/2024
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