Individual
ANA MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
30 GRANT ST, WALTHAM, MA 02453-4202
(781) 725-6792
Mailing address
30 GRANT ST, WALTHAM, MA 02453-4202
(781) 725-6792
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859301
MA
Other
Enumeration date
03/30/2020
Last updated
08/28/2025
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