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Individual

LOUIS J SAWAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 278-5667
Mailing address
PO BOX 9120, DEDHAM, MA 02027-9120
(781) 329-1400
(781) 278-5667

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17296
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016784
NEIGHBORHOOD HEALTH PLAN
01
17296
DELTA DENTAL
01
DM1405
FIRST SENIORITY
01
X07038
DENTAL BLUE
Enumeration date
06/30/2005
Last updated
07/08/2007
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