Organization
WATERTOWN FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERICHOLE LYN EILERS FURGAL DDS (OWNER)
(617) 923-0233
Entity
Organization
Contact information
Practice address
190 MOUNT AUBURN ST, WATERTOWN, MA 02472-4046
(617) 923-0233
Mailing address
190 MOUNT AUBURN ST, WATERTOWN, MA 02472-4046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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