| Somerville Dentistry And Braces, P.c. | |
|
5 Middlesex Ave Ste 305 Somerville MA 02145-1110 | |
| (508) 872-3072 | |
| Not Available |
| Full Name | Somerville Dentistry And Braces, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5 Middlesex Ave Ste 305, Somerville, Massachusetts |
| Authorized Official Name and Position | Joanne Tavano (CFO) |
| Authorized Official Contact | 9785801524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somerville Dentistry And Braces, P.c. 5 Mount Royal Ave Ste 300 Marlborough MA 01752-1900 Ph: (508) 723-0725 | Somerville Dentistry And Braces, P.c. 5 Middlesex Ave Ste 305 Somerville MA 02145-1110 Ph: (508) 872-3072 |
| NPI Number | 1053893115 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 09/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053893115 | NPI | - | NPPES |
| DN20209 | Other | MA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20209 (Massachusetts) | Primary |
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