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DR. GEORGE LANE KELEHER D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1619937091

Individual Registrant:
DR. GEORGE LANE KELEHER D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5 POWDERHOUSE LN BOX 369 SHERBORN, MA 01770-1316 US
Tel: 508-653-2430  Fax: 508-653-8430

Contact information for business:
5 POWDERHOUSE LN BOX 369 SHERBORN, MA 01770-1316 US
Tel: 508-653-2430  Fax: 508-653-8430

Registration Information:
NPI: 1619937091
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
MA11300

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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