| Wayland Family Dental Center, Llc | |
|
16 Boston Post Rd Wayland MA 01778-2434 | |
| (508) 358-6108 | |
| Not Available |
| Full Name | Wayland Family Dental Center, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16 Boston Post Rd, Wayland, Massachusetts |
| Authorized Official Name and Position | Michael Allen Putt (OWNER) |
| Authorized Official Contact | 5083586108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayland Family Dental Center, Llc 16 Boston Post Rd Wayland MA 01778-2434 Ph: (508) 358-6108 | Wayland Family Dental Center, Llc 16 Boston Post Rd Wayland MA 01778-2434 Ph: (508) 358-6108 |
| NPI Number | 1265756423 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265756423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19663 (Massachusetts) | Primary |
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