Organization
REVALEX PLLC
Active
Other names
Leominster Dental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE ANDREA LUCERO DDS (GENERAL DENTIST)
(781) 405-1879
Entity
Organization
Contact information
Practice address
28 WASHINGTON ST, LEOMINSTER, MA 01453-3126
(781) 405-1879
Mailing address
126 LYMAN RD, BERLIN, MA 01503-1804
(781) 405-1879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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