Organization
LUMIERE DENTAL SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEDA HOVAIZI DDS (DENTIST)
(434) 531-5817
Entity
Organization
Contact information
Practice address
495 SEA ST, QUINCY, MA 02169-2742
(617) 847-1400
(617) 847-1500
Mailing address
495 SEA ST, QUINCY, MA 02169-2742
(617) 847-1400
(617) 847-1500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855605
MA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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