Organization
CEDAR BROOK PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAOMI LA DMD (PRACTICE OWNER)
(617) 817-6346
Entity
Organization
Contact information
Practice address
162 CORDAVILLE RD STE 175, SOUTHBOROUGH, MA 01772-1838
(617) 817-6346
Mailing address
302 BAY DR, NORTHBOROUGH, MA 01532-3403
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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