| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 32 Wexford St, Needham, Massachusetts |
| Authorized Official Name and Position | Erin Raines (GENERAL MANAGER) |
| Authorized Official Contact | 7818937500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
32 Wexford St Needham MA 02494-2912 Ph: (781) 449-0477 | 32 Wexford St Needham MA 02494 Ph: (781) 449-0477 |
| NPI Number | 1518406453 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518406453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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