NPI 1790299915

Luz Preciado, DENTALASSISTANT

Practitioner Dental Assistant Lynn, MA

Practice location

Address: 269 Union St, Lynn, MA 01901-1314
Phone: (781) 581-3900
Mailing address: 12 Winthrop Ave APT 2, Revere, MA 02151-5054

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence DA09824 (MA)

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Registry record

NPI: 1790299915
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2017
Record last updated: 27 Nov 2017

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.