Organization
DILLAWAY FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A. DILLAWAY (CLERK)
(781) 899-1181
Entity
Organization
Contact information
Practice address
30 COLPITTS RD, WESTON, MA 02493-1534
(781) 899-5084
(781) 642-0609
Mailing address
PO BOX 181, WESTON, MA 02493-0001
(781) 899-1181
(781) 642-0609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
807
DELTA DENTAL
MA
01
—
X10346DI
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/05/2006
Last updated
08/22/2020
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