Individual
DR. ADIB IBRAHIM LAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
95 WASHINGTON ST, SUITE 472, CANTON, MA 02021-4006
(781) 821-2120
(781) 821-2433
Mailing address
95 WASHINGTON ST, SUITE 472, CANTON, MA 02021-4006
(781) 821-2120
(781) 821-2433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18362
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380796
HPHC
MA
01
—
X10837
BLUE CROSS OF MASS
MA
Enumeration date
10/19/2006
Last updated
07/08/2007
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