Organization
DAVIS SQUARE DENTAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIANA MASIELLO (CORPORATE MANAGER)
(617) 591-9999
Entity
Organization
Contact information
Practice address
509 CONCORD STREET, FRAMINGHAM, MA 01702
(508) 879-4400
Mailing address
30 COLLEGE AVE, SOMERVILLE, MA 02144-1914
(617) 591-9999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20416
MA
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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