Organization
DR ANNA VISHART DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA S VISHART DDS (OWNER)
(781) 471-7934
Entity
Organization
Contact information
Practice address
418 WASHINGTON ST, DEDHAM, MA 02026-4446
(781) 471-7934
(781) 686-9804
Mailing address
418 WASHINGTON ST, DEDHAM, MA 02026-4446
(781) 471-7934
(781) 686-9804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629494992
NPI
MA
Enumeration date
03/22/2018
Last updated
03/22/2018
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