Wellesley Dental Arts LLC
Dentist in Wellesley, MA. Organization (NPI-2).
NPI number1982004677
StatusActive
Last updated in NPPESOct 5, 2016
Details
- NPI
- 1982004677
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellesley Dental Arts LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2014
- Last updated
- Oct 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | MA20980 | MA | Yes |
Practice location
277 Linden StSuite 209
Wellesley, MA 02482-5900
Phone 781-235-1747
Mailing address
277 Linden StSuite 209
Wellesley, MA 02482-5900
Phone 781-235-1747
Authorized official
Richard Miller
President
7812351747
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