DR. Benjamin Lickteig, O.D.

NPI #1962738286 in Dedham, Massachusetts

Provider Information

NPI Number: 1962738286
Entity Type: Individual
Name: DR. Benjamin Lickteig, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 21, 2009
Last Updated: Dec 6, 2012

Practice Location

Address: 870 PROVIDENCE HWY
City: Dedham
State: Massachusetts
ZIP Code: 02026-6806
Phone: (781) 329-0067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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