Lynnfield Pediatric Dentistry, LLC

NPI #1073241469 in Lynnfield, Massachusetts

Provider Information

NPI Number: 1073241469
Entity Type: Organization
Organization Name: Lynnfield Pediatric Dentistry, LLC
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Aug 12, 2022
Last Updated: Aug 12, 2022

Practice Location

Address: 6 KIMBALL LN STE 140
City: Lynnfield
State: Massachusetts
ZIP Code: 01940-2667
Phone: (617) 895-6700

Authorized Official

Name: DR. HUBERT J PARK, DMD, MPH
Title: PRESIDENT
Phone: (617) 895-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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