Vast Dental Llc | |
433 Watertown St Newton MA 02458-1113 | |
(978) 996-5322 | |
Not Available |
Full Name | Vast Dental Llc |
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Speciality | Dentist - General Practice |
Location | 433 Watertown St, Newton, Massachusetts |
Authorized Official Name and Position | Hoang Anh Thu (OWNER) |
Authorized Official Contact | 9789965322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vast Dental Llc 433 Watertown St Newton MA 02458-1113 Ph: (978) 996-5322 | Vast Dental Llc 433 Watertown St Newton MA 02458-1113 Ph: (978) 996-5322 |
NPI Number | 1689003063 |
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Provider Enumeration Date | 11/05/2013 |
Last Update Date | 11/05/2013 |
Identifier | Type | State | Issuer |
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1689003063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DN 1855118 (Massachusetts) | Primary |
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