| Wakefield Custom Dental | |
|
1 W Water St Suite 101 Wakefield MA 01880-2929 | |
| (781) 246-4244 | |
| (781) 246-4484 |
| Full Name | Wakefield Custom Dental |
|---|---|
| Speciality | Dentist |
| Location | 1 W Water St, Wakefield, Massachusetts |
| Authorized Official Name and Position | Angela Karogiannis (DENTIST) |
| Authorized Official Contact | 6175043744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakefield Custom Dental 1 W Water St Suite 101 Wakefield MA 01880-2929 Ph: (781) 246-4244 | Wakefield Custom Dental 1 W Water St Suite 101 Wakefield MA 01880-2929 Ph: (781) 246-4244 |
| NPI Number | 1699184010 |
|---|---|
| Provider Enumeration Date | 08/11/2014 |
| Last Update Date | 08/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699184010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20531 (Massachusetts) | Primary |
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