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Organization

TUFTS DENTAL AND LENNON DENTAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A RUSSELL DMD (CLINICAL DIRECTOR)
(508) 759-2724
Entity
Organization

Contact information

Practice address
620 MAIN ST, WOBURN, MA 01801-7129
(781) 935-1630
Mailing address
1 TECHNOLOGY PARK DR STE C, BOURNE, MA 02532-8336
(508) 759-2724

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/30/2018
Last updated
10/30/2018
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