Organization
NEWTON WELLESLEY DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE E MATHEUS (CREDITING SPECIALIST)
(781) 567-0457
Entity
Organization
Contact information
Practice address
447 CENTRE STREET, SAME, NEWTON, MA 02458
(617) 244-4133
Mailing address
447 CENTRE STREET, SAME, NEWTON, MA 02458
(617) 244-4133
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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