| Children's Dental Of Waltham, P.c. | |
|
695 Main St Waltham MA 02451-0609 | |
| (781) 899-7070 | |
| Not Available |
| Full Name | Children's Dental Of Waltham, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 695 Main St, Waltham, Massachusetts |
| Authorized Official Name and Position | Yelena V. Gutnichenko (PRESIDENT) |
| Authorized Official Contact | 7818997070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Of Waltham, P.c. 52 Elm St Waltham MA 02453-5317 Ph: (781) 899-9530 | Children's Dental Of Waltham, P.c. 695 Main St Waltham MA 02451-0609 Ph: (781) 899-7070 |
| NPI Number | 1184768426 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184768426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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