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1407824741
LEE W THACH
EVERETT, MA
NPI
1407824741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: MA 19582)
Enumeration Date
2006-03-11
Last Update Date
2007-07-09
Business Address
Dr. LEE W THACH DMD
186 ELM ST
EVERETT, MA 02149-5222
Phone number: 617-389-2112
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Mailing Address
Dr. LEE W THACH DMD
186 ELM ST
EVERETT, MA 02149-5222
Phone number: 617-389-2112
Copy
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