DR. Lee W Thach, DMD
NPI #1407824741 in Everett, Massachusetts
Provider Information
- NPI Number
- 1407824741
- Entity Type
- Individual
- Name
- DR. Lee W Thach, DMD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DMD
- Enumeration Date
- Mar 11, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 186 ELM ST
- City
- Everett
- State
- Massachusetts
- ZIP Code
- 02149-5222
- Phone
- (617) 389-2112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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