Organization
WELLESLEY ORAL SURGERY AND IMPLANT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MEMORY DMD, MD (EMPLOYEE/OWNER)
(781) 235-5225
Entity
Organization
Contact information
Practice address
486 WASHINGTON ST, WELLESLEY, MA 02482-5971
(781) 235-5225
Mailing address
486 WASHINGTON ST, WELLESLEY, MA 02482-5971
(781) 235-5225
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
06/10/2020
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