| Waltham Family Dental | |
|
30 Grant St Waltham MA 02453-4202 | |
| (781) 894-1634 | |
| Not Available |
| Full Name | Waltham Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30 Grant St, Waltham, Massachusetts |
| Authorized Official Name and Position | Vik Kapoor (MANAGER) |
| Authorized Official Contact | 6179535221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waltham Family Dental 30 Grant St Waltham MA 02453-4202 Ph: () - | Waltham Family Dental 30 Grant St Waltham MA 02453-4202 Ph: (781) 894-1634 |
| NPI Number | 1548617814 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 05/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548617814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20802 (Massachusetts) | Primary |
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