NPI 1104859024

Russell K. Hagopian, DMD

Practitioner General Practice Dentistry Lexington, MA

Practice location

Address: 922 Waltham St Suite 210, Lexington, MA 02421-8019
Phone: (781) 862-8662
Fax: (781) 862-6187

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 14786 (MA)

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Registry record

NPI: 1104859024
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2006
Record last updated: 8 Jul 2007

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.