| NPI | 1336518026 |
|---|---|
| Former Legal Business Name | COMMUNITY DENTISTS OF LOWELL |
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SCANNELL Dentist 978-758-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |