Organization
GUSTAVO PERDOMO, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO PERDOMO DMD (DENTIST)
(781) 335-5300
Entity
Organization
Contact information
Practice address
330 WASHINGTON ST, WEYMOUTH, MA 02188-2932
(781) 335-5300
Mailing address
330 WASHINGTON ST, WEYMOUTH, MA 02188-2932
(781) 335-5300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21628
MA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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