Organization
FOUR CORNERS DENTAL CARE
Active
Other names
George P. Moutevelis, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MARIE MOUTEVELIS (BUSINESS MANAGER)
(781) 933-4144
Entity
Organization
Contact information
Practice address
237 LEXINGTON ST, SUITE 210, WOBURN, MA 01801-5984
(781) 933-4144
(781) 933-4649
Mailing address
237 LEXINGTON ST, SUITE 210, WOBURN, MA 01801-5984
(781) 933-4144
(781) 933-4649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15162
MA
122300000X
Dentist
21707
MA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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