Organization
WAVERLEY OAKS DENTAL CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHIN SOLI SAGAFI DMD (OWNER)
(781) 647-0022
Entity
Organization
Contact information
Practice address
411 WAVERLEY OAKS RD, BLDG #3, STE. 318, WALTHAM, MA 02452-8448
(781) 647-0022
(781) 647-1122
Mailing address
411 WAVERLEY OAKS RD, BLDG #3, STE. 318, WALTHAM, MA 02452-8448
(781) 647-0022
(781) 647-1122
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18464
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X12212
BLUE CROSS BLUE SHIELDS
MA
Enumeration date
02/15/2007
Last updated
08/22/2020
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