| Glad Specialized Family Dentistry | |
|
29 Hudson Rd 3220 Sudbury MA 01776-1747 | |
| (978) 443-4545 | |
| Not Available |
| Full Name | Glad Specialized Family Dentistry |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 29 Hudson Rd, Sudbury, Massachusetts |
| Authorized Official Name and Position | Gustavo J Infante (P) |
| Authorized Official Contact | 6176453286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glad Specialized Family Dentistry 29 Hudson Rd 3220 Sudbury MA 01776-1747 Ph: (978) 443-4545 | Glad Specialized Family Dentistry 29 Hudson Rd 3220 Sudbury MA 01776-1747 Ph: (978) 443-4545 |
| NPI Number | 1396025441 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 04/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396025441 | NPI | - | NPPES |
| 1124249826 | Medicaid | MA | |
| 1942414263 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN21546 (Massachusetts) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | DN21117 (Massachusetts) | Primary |
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David A. Tesini & Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Boston Post Rd, Suite 6, Sudbury, MA 01776 Phone: 978-443-5431 Fax: 978-443-5465 |