Individual
LEI ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
421 N MAIN ST, LEEDS, MA 01053-9764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
NA
MA
1223G0001X
General Practice Dentistry
Primary
DN1857931
MA
Other
Enumeration date
05/07/2018
Last updated
09/26/2023
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