Organization
CLARKE STREET FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SILVA ANDONYAN D.M.D (DENTIST)
(781) 861-0608
Entity
Organization
Contact information
Practice address
16 CLARKE ST, LEXINGTON, MA 02421-4988
(781) 861-0608
(781) 861-0608
Mailing address
16 CLARKE ST, LEXINGTON, MA 02421-4988
(781) 861-0608
(781) 861-0608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18996
MA
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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