| 376 Dental Studio | |
|
376 Moody St Waltham MA 02453-5204 | |
| (206) 949-7622 | |
| Not Available |
| Full Name | 376 Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 376 Moody St, Waltham, Massachusetts |
| Authorized Official Name and Position | Poonam Soi (OWNER/GENERAL DENTIST) |
| Authorized Official Contact | 2069497622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 376 Dental Studio 160 Cambridgepark Drive Apt 359 Cambridge MA 02140 Ph: (206) 949-7622 | 376 Dental Studio 376 Moody St Waltham MA 02453-5204 Ph: (206) 949-7622 |
| NPI Number | 1174046684 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174046684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1856498 (Massachusetts) | Primary |
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