Organization
NEEDHAM FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH RUSS DMD (CEO/OWNER/DENTIST)
(781) 325-2342
Entity
Organization
Contact information
Practice address
234 CHESTNUT ST, NEEDHAM, MA 02492-2407
(781) 444-0038
Mailing address
234 CHESTNUT ST, NEEDHAM, MA 02492-2407
(781) 444-0038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22300
MA
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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