| Elm Dental | |
|
52 Elm St Waltham MA 02453-5317 | |
| (781) 899-9530 | |
| (781) 736-0977 |
| Full Name | Elm Dental |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 52 Elm St, Waltham, Massachusetts |
| Authorized Official Name and Position | Yelena V Gutnichenko (PRESIDENT) |
| Authorized Official Contact | 7818999530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Dental 52 Elm St Waltham MA 02453-5317 Ph: (781) 899-9530 | Elm Dental 52 Elm St Waltham MA 02453-5317 Ph: (781) 899-9530 |
| NPI Number | 1669516993 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669516993 | NPI | - | NPPES |
| 9732811 | Medicaid | MA |
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