Organization
UNITED DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG JIN LEE D.M.D (OWNER)
(508) 743-7888
Entity
Organization
Contact information
Practice address
131 MERRIMACK ST, LOWELL, MA 01852-1723
(508) 743-7888
(888) 594-4555
Mailing address
3112 CRANBERRY HWY, UNIT A, EAST WAREHAM, MA 02538-4810
(508) 743-7888
(888) 594-4555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21084
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206946
—
MA
Enumeration date
04/03/2017
Last updated
04/03/2017
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