Organization
DENTONIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEEMA Z JACOB DDS (PRESIDENT)
(781) 697-7421
Entity
Organization
Contact information
Practice address
25 MIDDLESEX RD, #2, WALTHAM, MA 02452-6170
(781) 697-7421
(781) 647-1994
Mailing address
25 MIDDLESEX ROAD,, #2, WALTHAM, MA 02452
(781) 697-7421
(781) 647-1994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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