Individual
KIRSTEN LUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
520 MAIN ST, WALTHAM, MA 02452
(781) 216-8097
Mailing address
30 REVERE BEACH PKWY APT 710, MEDFORD, MA 02155-5164
(617) 855-5477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856008
MA
Other
Enumeration date
06/14/2012
Last updated
03/28/2019
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