| Comprehensive Dental Care | |
|
474 Broadway Apt 110 Somerville MA 02145-2630 | |
| (617) 623-2223 | |
| Not Available |
| Full Name | Comprehensive Dental Care |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 474 Broadway Apt 110, Somerville, Massachusetts |
| Authorized Official Name and Position | Douglas F Leigh (OWNER) |
| Authorized Official Contact | 9783023803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Dental Care 474 Broadway Apt 110 Somerville MA 02145-2630 Ph: (617) 623-2223 | Comprehensive Dental Care 474 Broadway Apt 110 Somerville MA 02145-2630 Ph: (617) 623-2223 |
| NPI Number | 1184839573 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184839573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20254 (Massachusetts) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20757 (Massachusetts) | Primary |
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