| Dale M Wetmore Dds Pc | |
|
29 Commonwealth Avenue #305 Boston MA 02116 | |
| (617) 536-7168 | |
| (617) 536-6634 |
| Full Name | Dale M Wetmore Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29 Commonwealth Avenue, Boston, Massachusetts |
| Authorized Official Name and Position | Dale Melvin Wetmore (PRESIDENT) |
| Authorized Official Contact | 6175367168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale M Wetmore Dds Pc 29 Commonwealth Avenue #305 Boston MA 02116 Ph: (617) 536-7168 | Dale M Wetmore Dds Pc 29 Commonwealth Avenue #305 Boston MA 02116 Ph: (617) 536-7168 |
| NPI Number | 1841213295 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841213295 | NPI | - | NPPES |
| X11920 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12755 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | 21163 (Massachusetts) | Primary |
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