Organization
NORTH CAMBRIDGE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN JAY WILSON D.M.D. (PRESIDENT)
(617) 876-8636
Entity
Organization
Contact information
Practice address
2210 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1892
(617) 876-8636
(617) 661-4894
Mailing address
2210 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1892
(617) 876-8636
(617) 661-4894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14418
MA
Other
Enumeration date
04/05/2007
Last updated
08/22/2020
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