Gustavo Perdomo, Dmd, Llc | |
330 Washington St Weymouth MA 02188-2932 | |
(781) 335-5300 | |
Not Available |
Full Name | Gustavo Perdomo, Dmd, Llc |
---|---|
Speciality | Dentist |
Location | 330 Washington St, Weymouth, Massachusetts |
Authorized Official Name and Position | Gustavo Perdomo (DENTIST) |
Authorized Official Contact | 7813355300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gustavo Perdomo, Dmd, Llc 330 Washington St Weymouth MA 02188-2932 Ph: (781) 335-5300 | Gustavo Perdomo, Dmd, Llc 330 Washington St Weymouth MA 02188-2932 Ph: (781) 335-5300 |
NPI Number | 1700052651 |
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Provider Enumeration Date | 05/01/2008 |
Last Update Date | 05/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700052651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 21628 (Massachusetts) | Primary |
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