| Cedar Brook Pediatric Dentistry Pllc | |
|
162 Cordaville Rd Ste 175 Southborough MA 01772-1838 | |
| (617) 817-6346 | |
| Not Available |
| Full Name | Cedar Brook Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 162 Cordaville Rd Ste 175, Southborough, Massachusetts |
| Authorized Official Name and Position | Naomi La (PRACTICE OWNER) |
| Authorized Official Contact | 6178176346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Brook Pediatric Dentistry Pllc 302 Bay Dr Northborough MA 01532-3403 Ph: () - | Cedar Brook Pediatric Dentistry Pllc 162 Cordaville Rd Ste 175 Southborough MA 01772-1838 Ph: (617) 817-6346 |
| NPI Number | 1003579277 |
|---|---|
| Provider Enumeration Date | 10/14/2021 |
| Last Update Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003579277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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