Organization
NEW DENTAL28 PLLC
Active
Other names
DENTAL28
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XINGXUE HARRY HU D.M.D. (DIRECTOR)
(781) 863-5577
Entity
Organization
Contact information
Practice address
1725 MASSACHUSETTS AVE, LEXINGTON, MA 02420-5306
(781) 863-5577
Mailing address
1725 MASSACHUSETTS AVE, LEXINGTON, MA 02420-5306
(781) 863-5577
(781) 372-1010
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
125Q00000X
Oral Medicine Dentistry
—
—
146N00000X
Basic Emergency Medical Technician
—
—
305R00000X
Preferred Provider Organization
Primary
DN1857061
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
GENERAL PRACTICE IN DENTISTRY
MA
Enumeration date
03/16/2017
Last updated
10/14/2021
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