Individual
STEVEN DIREDA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1428 MAIN ST STE 1, WALPOLE, MA 02081-1729
(508) 668-8008
Mailing address
100 S QUINSIGAMOND AVE, SHREWSBURY, MA 01545-4258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859069
MA
1223G0001X
General Practice Dentistry
PENDING
MA
Other
Enumeration date
03/27/2020
Last updated
07/13/2021
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