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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MY DENTAL LLC

Active Organization

Dental Clinic · WALTHAM, MA

Registration Details

NPI Number
1366722100
Provider Type
Organization
NPI Issued
Aug 24, 2011 (14.678301776519 yrs)
Last Updated
Aug 24, 2011
License
22184 (MA)

Practice Information

Address
314 MOODY ST
SUITE B
WALTHAM, MA, 024535202
Browse MA providers · Browse ZIP 02453
Phone
7402158549
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in WALTHAM, MA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.