Organization
ADVANCED WALTHAM DENTAL
Active
Parent organization
ADVANCED CROWN DENTAL P.C.
Other names
Advanced Mansfield Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED CROWN DENTAL P.C.
Authorized official
DR. TUAN DO D.D.S (OWNER/ DENTIST)
(781) 366-0411
Entity
Organization
Contact information
Practice address
100 MAPLE ST, WALTHAM, MA 02453-4439
(781) 366-0411
(781) 810-4811
Mailing address
100 MAPLE ST, WALTHAM, MA 02453-4439
(781) 366-0411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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