| Cedarwood Dental Pc | |
|
252 Squire Rd Revere MA 02151-4311 | |
| (781) 286-1620 | |
| (781) 289-7901 |
| Full Name | Cedarwood Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 252 Squire Rd, Revere, Massachusetts |
| Authorized Official Name and Position | Olufemi A Oguntolu (DIRECTOR) |
| Authorized Official Contact | 7812861620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedarwood Dental Pc 252 Squire Rd Revere MA 02151-4311 Ph: (781) 286-1620 | Cedarwood Dental Pc 252 Squire Rd Revere MA 02151-4311 Ph: (781) 286-1620 |
| NPI Number | 1841468162 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841468162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19363 (Massachusetts) | Primary |
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