| David S Wald Dmd | |
|
29 South Street Northborough MA 01532 | |
| (508) 393-7495 | |
| (508) 393-4294 |
| Full Name | David S Wald Dmd |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 29 South Street, Northborough, Massachusetts |
| Authorized Official Name and Position | David S Wald (DENTIST OWNER) |
| Authorized Official Contact | 5083937495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David S Wald Dmd 29 South Street Northborough MA 01532 Ph: (508) 393-7495 | David S Wald Dmd 29 South Street Northborough MA 01532 Ph: (508) 393-7495 |
| NPI Number | 1487720223 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487720223 | NPI | - | NPPES |
| 9772642 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18537 (Massachusetts) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 11080 (Massachusetts) | Primary |
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