Individual
LYNH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 MAIN ST, HAVERHILL, MA 01830-5048
(978) 912-0900
Mailing address
30 FRANKLIN ST UNIT 422, MALDEN, MA 02148-4140
(781) 606-5127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000372
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2023
Last updated
10/18/2024
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