Organization
DOMENIC D'AMICO, DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENIC D'AMICO D.M.D. (PRESIDENT/DENTIST)
(617) 926-1801
Entity
Organization
Contact information
Practice address
359 MAIN ST, WATERTOWN, MA 02472-2360
(617) 926-1801
(617) 923-9618
Mailing address
359 MAIN ST, WATERTOWN, MA 02472-2360
(617) 926-1801
(617) 923-9618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17710
MA
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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