Organization
GARRETT K PISKOR, DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT K PISKOR DMD (OWNER)
(617) 547-4958
Entity
Organization
Contact information
Practice address
57 BEDFORD ST, SUITE 208, LEXINGTON, MA 02420-4500
(781) 862-1900
(781) 862-1817
Mailing address
57 BEDFORD ST, SUITE 208, LEXINGTON, MA 02420-4500
(781) 862-1900
(781) 862-1817
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
12217
MA
126900000X
Dental Laboratory Technician
Primary
15316
MA
Other
Enumeration date
08/12/2006
Last updated
01/14/2013
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