Provider Demographics
NPI:1851638183
Name:TODAY'S DENTAL OF LUNENBURG, INC.
Entity Type:Organization
Organization Name:TODAY'S DENTAL OF LUNENBURG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VENIAMIN
Authorized Official - Middle Name:V
Authorized Official - Last Name:KALMANOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-582-6450
Mailing Address - Street 1:585 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1305
Mailing Address - Country:US
Mailing Address - Phone:978-582-6450
Mailing Address - Fax:
Practice Address - Street 1:585 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:LUNENBURG
Practice Address - State:MA
Practice Address - Zip Code:01462-1305
Practice Address - Country:US
Practice Address - Phone:978-582-6450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty