| Cathleen E. Wallent, Dmd, Pc | |
|
100 Amesbury St Suite 202 Lawrence MA 01840-1321 | |
| (978) 682-2276 | |
| (603) 893-5461 |
| Full Name | Cathleen E. Wallent, Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Amesbury St, Lawrence, Massachusetts |
| Authorized Official Name and Position | Cathleen E. Wallent (DENTIST) |
| Authorized Official Contact | 9786822276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cathleen E. Wallent, Dmd, Pc 100 Amesbury St Suite 202 Lawrence MA 01840-1321 Ph: (978) 682-2276 | Cathleen E. Wallent, Dmd, Pc 100 Amesbury St Suite 202 Lawrence MA 01840-1321 Ph: (978) 682-2276 |
| NPI Number | 1366757064 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 09/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366757064 | NPI | - | NPPES |
| 30302399 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17997 (Massachusetts) | Primary |
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