| NPI | 1467925057 |
|---|---|
| Doing Business As | PERIODONTOLOGY ASSOCIATES OF LEXINGTON |
| Entity Type | Organization |
| Authorized Contact | ERIN RICHARD Office Manager 508-653-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |