Organization
DENTAL AID 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA KRASNOSLOBODTSEVA DMD (GENERAL DENTIST)
(781) 340-5361
Entity
Organization
Contact information
Practice address
884 WASHINGTON ST, 130, WEYMOUTH, MA 02189-1530
(781) 340-5361
Mailing address
884 WASHINGTON ST, 130, WEYMOUTH, MA 02189-1530
(781) 340-5361
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 1856680
MA
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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