Organization
LYNN PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC
Active
Other names
Drs. Park, Perlman & Koidin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUBERT J PARK DMD, MPH (PRESIDENT)
(617) 895-6700
Entity
Organization
Contact information
Practice address
77 BROAD ST, LYNN, MA 01902-5003
(781) 599-2900
Mailing address
9 MONTAGUE ST UNIT C, CAMBRIDGE, MA 02139-3721
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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