Organization
PEDIATRIC DENTAL SPECIALIST OF NEEDHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNAMARIE DEFEO DDS (DENTIST)
(781) 343-1026
Entity
Organization
Contact information
Practice address
145 ROSEMARY ST BLDG K, NEEDHAM, MA 02494-3238
(781) 343-1026
Mailing address
59 CONCORD ST, NEEDHAM, MA 02494-1901
(617) 620-6721
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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