Wallis Dental Llc

LBN: Wallis Dental Llc
Wallis Dental Llc is an health care organization with primary practice located at 1 Wallis Ct Ste 4 , Lexington MA 02421-5416. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Wallis Dental Llc can be contacted via phone (781) 862-6565, or through Kim, Min Jung via phone (781) 862-6565.

Contact Information

Primary practice address
1 Wallis Ct Ste 4 Lexington MA 02421-5416
Phone: (781) 862-6565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Min Jung Doctor of Dental Medicine (DMD)
Phone: (781) 862-6565

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1831867985
LBN Legal business name Wallis Dental Llc
DBA Doing business as
Authorized official Kim, Min Jung Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2021
Last updated Sep 2nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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