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Organization

LAVOIE PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS LAVOIE DDS (OWNER)
(774) 991-1418
Entity
Organization

Contact information

Practice address
2200 GAR HWY STE 2, SWANSEA, MA 02777-3935
(508) 233-3341
Mailing address
2200 GAR HWY STE 2, SWANSEA, MA 02777-3935

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396188645
MA
Enumeration date
02/18/2019
Last updated
02/18/2019
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