Organization
WATERTOWN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER DANA D.M.D. (OWNER)
(617) 926-0100
Entity
Organization
Contact information
Practice address
6 MOUNT AUBURN ST, WATERTOWN, MA 02472-3928
(617) 926-0100
(617) 924-2836
Mailing address
6 MOUNT AUBURN ST, WATERTOWN, MA 02472-3928
(617) 926-0100
(617) 924-2836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14591
MA
1223G0001X
General Practice Dentistry
16058
MA
1223P0300X
Periodontics
20673
MA
Other
Enumeration date
10/15/2006
Last updated
08/09/2016
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