Organization
LORNA LALLY DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SHAW (MANAGER)
(617) 908-8520
Entity
Organization
Contact information
Practice address
109 COLLEGE AVE, SOMERVILLE, MA 02144-1908
(617) 666-1613
Mailing address
109 COLLEGE AVE, SOMERVILLE, MA 02144-1908
(617) 666-1613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20281
MA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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