NPI 1184051153

The Braces Place of Lawrence

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Lowell, MA

Practice location

Address: 21 George St, Lowell, MA 01852-2228
Phone: (978) 454-0774
Mailing address: 30 College Ave, Somerville, MA 02144-1914

Authorised official

Name: Mouhab Rizkallah
Title: Owner
Phone: (617) 591-9999

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 20416 (MA)

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Registry record

NPI: 1184051153
Entity type: Organization
NPI issued: 4 Oct 2013
Record last updated: 4 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.