Organization
CASTELLUCCI, WYSOCKI AND OSORIO DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WYSOCKI DMD (PARTNER/DENTIST)
(508) 358-7100
Entity
Organization
Contact information
Practice address
311 BOSTON POST RD UNIT 1, WAYLAND, MA 01778-1802
(508) 358-7100
Mailing address
311 BOSTON POST RD UNIT 1, WAYLAND, MA 01778-1802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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