Organization
BRADFORD R MATTISON DMD PLLC
Active
Other names
Wellesley Square Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD R MATTISON DMD (OWNER)
(617) 930-6493
Entity
Organization
Contact information
Practice address
1 HOLLIS ST STE 340, WELLESLEY, MA 02482-4672
(781) 235-5404
Mailing address
115 LANGLEY RD # 2, NEWTON, MA 02459-2062
(617) 930-6493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857389
MA
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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