Organization
MEOLA & ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMIAN MEOLA (OWNER)
(781) 860-0115
Entity
Organization
Contact information
Practice address
76 BEDFORD ST, UNIT 9, LEXINGTON, MA 02420-4646
(781) 860-0115
(781) 860-5144
Mailing address
76 BEDFORD ST, UNIT 9, LEXINGTON, MA 02420-4646
(781) 860-0115
(781) 860-5144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17511
MA
122300000X
Dentist
DN1856618
MA
1223E0200X
Endodontics
DN21623
MA
1223P0300X
Periodontics
21707
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20998
MA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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