| 3-d Dental, Pc | |
|
411 Massachusetts Ave Suite 204 Acton MA 01720-3739 | |
| (978) 266-1288 | |
| (978) 266-1230 |
| Full Name | 3-d Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 411 Massachusetts Ave, Acton, Massachusetts |
| Authorized Official Name and Position | David Wei Wang (PRESIDENT) |
| Authorized Official Contact | 9782661288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 3-d Dental, Pc 411 Massachusetts Ave Suite 204 Acton MA 01720-3739 Ph: (978) 266-1288 | 3-d Dental, Pc 411 Massachusetts Ave Suite 204 Acton MA 01720-3739 Ph: (978) 266-1288 |
| NPI Number | 1699824433 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699824433 | NPI | - | NPPES |
| 1306874292 | Other | MA | DENTIST |
| 1578591475 | Other | MA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20540 (Massachusetts) | Secondary |
| 122300000X | Dentist | 19996 (Massachusetts) | Primary |
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