Organization
OFELIA V. VILLANUEVA D.M.D. L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OFELIA VELUZ VILLANUEVA 6173284646 (D.M.D.)
(617) 328-4646
Entity
Organization
Contact information
Practice address
339 HANCOCK ST, NORTH QUINCY, MA 02171-2438
(617) 328-4646
(617) 328-4646
Mailing address
339 HANCOCK ST, NORTH QUINCY, MA 02171-2438
(617) 328-4646
(617) 328-4646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17807
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11001108A
—
MA
Enumeration date
08/30/2010
Last updated
08/30/2010
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