Organization
PREMIER DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY WOOD (OFFICE MANAGER)
(617) 923-8100
Entity
Organization
Contact information
Practice address
377 MAIN ST, WATERTOWN, MA 02472-2360
(617) 923-8100
(617) 923-0979
Mailing address
377 MAIN ST, WATERTOWN, MA 02472-2360
(617) 923-8100
(617) 923-0979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18376
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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