| Waltham Dental Center | |
|
85 River Street Waltham MA 02453 | |
| (781) 891-7737 | |
| (781) 891-7107 |
| Full Name | Waltham Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 85 River Street, Waltham, Massachusetts |
| Authorized Official Name and Position | John C Tam (GENERAL PARTNER) |
| Authorized Official Contact | 5088207792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waltham Dental Center 85 River Street Waltham MA 02453 Ph: (781) 891-7737 | Waltham Dental Center 85 River Street Waltham MA 02453 Ph: (781) 891-7737 |
| NPI Number | 1396805313 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 11/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396805313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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