Provider Demographics
NPI:1609116235
Name:NORA DUBE D.M.D
Entity Type:Organization
Organization Name:NORA DUBE D.M.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:VL
Authorized Official - Last Name:DUBE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-598-0491
Mailing Address - Street 1:PO BOX 343
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01905-0643
Mailing Address - Country:US
Mailing Address - Phone:781-598-0491
Mailing Address - Fax:781-598-0491
Practice Address - Street 1:895 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01905-2359
Practice Address - Country:US
Practice Address - Phone:781-598-0491
Practice Address - Fax:781-598-0491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty