Provider Demographics
NPI:1689739989
Name:CALEGAN, LAJUANA M (DMD)
Entity Type:Individual
Prefix:
First Name:LAJUANA
Middle Name:M
Last Name:CALEGAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:LAJUANA
Other - Middle Name:C
Other - Last Name:RAVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38 AUDUBON RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867
Mailing Address - Country:US
Mailing Address - Phone:978-828-3602
Mailing Address - Fax:
Practice Address - Street 1:7 ALFRED ST.
Practice Address - Street 2:SUITE 125
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801
Practice Address - Country:US
Practice Address - Phone:781-933-8380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice