My Dentist, LLC

NPI #1679594543 in Brookline, Massachusetts

Provider Information

NPI Number: 1679594543
Entity Type: Organization
Organization Name: My Dentist, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1297 BEACON ST
City: Brookline
State: Massachusetts
ZIP Code: 02446-5242
Phone: (617) 566-1524

Authorized Official

Name: DR. IGOR ALEXIS LOZADA, DMD
Title: OWNER
Phone: (617) 566-1524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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