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Organization
WEYMOUTH DENTISTRY AND BRACES PC
Active
Organization
WEYMOUTH DENTISTRY AND BRACES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE TAVANO (CHIEF FINANCIAL OFFICER)
(978) 580-1524
Entity
Organization
Contact information
Practice address
35 PLEASANT ST, WEYMOUTH, MA 02190-2339
(339) 499-7810
(339) 499-7808
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 460-0632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20209
MA
Other
Enumeration date
07/09/2018
Last updated
04/23/2020
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