| Wellesley Square Dental | |
|
1 Hollis St Ste 340 Wellesley MA 02482-4672 | |
| (781) 235-5404 | |
| Not Available |
| Full Name | Wellesley Square Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 Hollis St Ste 340, Wellesley, Massachusetts |
| Authorized Official Name and Position | Bradford R Mattison (OWNER) |
| Authorized Official Contact | 6179306493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellesley Square Dental 115 Langley Rd # 2 Newton MA 02459-2062 Ph: (617) 930-6493 | Wellesley Square Dental 1 Hollis St Ste 340 Wellesley MA 02482-4672 Ph: (781) 235-5404 |
| NPI Number | 1477047710 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477047710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1857389 (Massachusetts) | Primary |
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