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General NPI Number Information
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NPI Number | 1952066110
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Entity Type | Organization
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Legal Business Name | A & S DENTAL WELLNESS CENTER OF LOWELL, P. C.
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 21 GEORGE ST STE 201
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City | LOWELL
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State | MA
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Zip | 01852-2228
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Country | US
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Telephone | 978-453-8610
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Fax |
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Provider Business Mailing Address
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Address Line | 21 GEORGE ST STE 201
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City | LOWELL
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State | MA
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Zip | 01852-2228
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Country | US
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Telephone | 978-453-8610
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YIJIA LI
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Credential | DMD
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Telephone | 857-540-1532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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