Organization
JOHN D MEOLA, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN ANN RUSSELL (BUSINESS MANAGER)
(781) 890-4900
Entity
Organization
Contact information
Practice address
40 2ND AVE, SUITE 500, WALTHAM, MA 02451-1132
(781) 890-4900
(781) 890-6094
Mailing address
40 2ND AVE, SUITE 500, WALTHAM, MA 02451-1132
(781) 890-4900
(781) 890-6094
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14230
MA
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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