| Pediatric Dental Of Wayland | |
|
96 Andrew Ave Wayland MA 01778-3025 | |
| (508) 358-2200 | |
| (508) 358-2206 |
| Full Name | Pediatric Dental Of Wayland |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 96 Andrew Ave, Wayland, Massachusetts |
| Authorized Official Name and Position | Reem Antun Lago (DENTIST) |
| Authorized Official Contact | 6179474971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Of Wayland 96 Andrew Ave Wayland MA 01778-3025 Ph: (508) 358-2200 | Pediatric Dental Of Wayland 96 Andrew Ave Wayland MA 01778-3025 Ph: (508) 358-2200 |
| NPI Number | 1639538523 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 02/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639538523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Massachusetts) | Primary |
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