Individual
ANOOJA LALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ADMIRE DENTAL GROUP, 1480 S. MAIN STREET, FALL RIVER, MA 02724
(508) 644-0555
Mailing address
18 MEADOW LANE, APT 8, BRIDGEWATER, MA 02324
(857) 891-3971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000458
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/29/2024
Last updated
11/20/2024
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