| Wow Dental For Kids Inc | |
|
1077 Lexington St Waltham MA 02452-7233 | |
| (781) 899-0014 | |
| Not Available |
| Full Name | Wow Dental For Kids Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1077 Lexington St, Waltham, Massachusetts |
| Authorized Official Name and Position | Chun Yu Yogi Chen (OWNER) |
| Authorized Official Contact | 5089048670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wow Dental For Kids Inc 1077 Lexington St Waltham MA 02452-7233 Ph: (781) 899-0014 | Wow Dental For Kids Inc 1077 Lexington St Waltham MA 02452-7233 Ph: (781) 899-0014 |
| NPI Number | 1922455542 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 05/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922455542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | MA18640 (Massachusetts) | Primary |
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