Organization
LEXINGTON DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI J KENNEY (CREDENTIALING SPECIALIST)
(781) 562-0457
Entity
Organization
Contact information
Practice address
35 BEDFORD ST STE 16, LEXINGTON, MA 02420-4440
(781) 863-0096
Mailing address
500 CHAPMAN ST UNIT 201, CANTON, MA 02021-2040
(781) 562-0457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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