Organization
BOLTON GENERAL & COSMETIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMPARO M DAVID DMD (OWNER)
(978) 779-2888
Entity
Organization
Contact information
Practice address
563 MAIN ST, BOLTON, MA 01740-1300
(978) 779-2888
(978) 779-6023
Mailing address
563 MAIN ST, BOLTON, MA 01740-1300
(978) 779-2888
(978) 779-6023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19804
MA
Other
Enumeration date
07/01/2009
Last updated
04/16/2010
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