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1063720498
LICKTEIG FAMILY EYECARE PC
DEDHAM, MA
NPI
1063720498
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Entity Type
Organization
Authorized Contact
BENJAMIN THOMAS LICKTEIG
Owner
781-329-0067
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MA 4782)
Enumeration Date
2010-09-20
Last Update Date
2011-06-13
Business Address
LICKTEIG FAMILY EYECARE PC
870 PROVIDENCE HWY
DEDHAM, MA 02026-6806
Phone number: 781-329-0067
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Mailing Address
LICKTEIG FAMILY EYECARE PC
870 PROVIDENCE HWY
DEDHAM, MA 02026-6806
Phone number: 781-329-0067
Copy
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