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1962738286
BENJAMIN LICKTEIG
DEDHAM, MA
NPI
1962738286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MA 4782)
Enumeration Date
2009-10-21
Last Update Date
2012-12-06
Business Address
Dr. BENJAMIN LICKTEIG O.D.
870 PROVIDENCE HWY
DEDHAM, MA 02026-6806
Phone number: 781-329-0067
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Mailing Address
Dr. BENJAMIN LICKTEIG O.D.
870 PROVIDENCE HWY
DEDHAM, MA 02026-6806
Phone number: 781-329-0067
Copy
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