Organization
SOMERVILLE PEDIATRIC DENTISTRY PC
Active
Other names
Somerville Pediatric Dentistry PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE W THACH DMD (PEDIATRIC DENTIST)
(617) 227-2421
Entity
Organization
Contact information
Practice address
51 CROSS ST, SOMERVILLE, MA 02145-3244
(617) 227-2421
Mailing address
100 EVERETT AVE STE 10, CHELSEA, MA 02150-2374
(617) 389-2112
(617) 389-5885
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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