| S Corporation | |
|
47 Central St Norwood MA 02062 | |
| (781) 769-3566 | |
| (781) 769-0992 |
| Full Name | S Corporation |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 47 Central St, Norwood, Massachusetts |
| Authorized Official Name and Position | Robert L Viventi (OWNER) |
| Authorized Official Contact | 7817693566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Corporation 47 Central St Norwood MA 02062 Ph: (781) 769-3566 | S Corporation 47 Central St Norwood MA 02062 Ph: (781) 769-3566 |
| NPI Number | 1417048117 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417048117 | NPI | - | NPPES |
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