| Wollaston Dental Care, Inc | |
|
688 Hancock St Quincy MA 02170-2814 | |
| (617) 984-5888 | |
| (617) 984-5822 |
| Full Name | Wollaston Dental Care, Inc |
|---|---|
| Speciality | Dentist |
| Location | 688 Hancock St, Quincy, Massachusetts |
| Authorized Official Name and Position | Jennifer Lee (PRESIDENT) |
| Authorized Official Contact | 6179845888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wollaston Dental Care, Inc 688 Hancock St Quincy MA 02170-2814 Ph: (617) 984-5888 | Wollaston Dental Care, Inc 688 Hancock St Quincy MA 02170-2814 Ph: (617) 984-5888 |
| NPI Number | 1871765966 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871765966 | NPI | - | NPPES |
| X11526 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20147 (Massachusetts) | Primary |
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