Organization
PEDIATRIC DENTAL OF WAYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REEM ANTUN LAGO DMD (DENTIST)
(617) 947-4971
Entity
Organization
Contact information
Practice address
96 ANDREW AVE, WAYLAND, MA 01778-3025
(508) 358-2200
(508) 358-2206
Mailing address
96 ANDREW AVE, WAYLAND, MA 01778-3025
(508) 358-2200
(508) 358-2206
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
MA
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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