Organization
CAMELOT DENTAL
Active
Other names
Camelot Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN L COLELLA DMD (PRESIDENT)
(781) 337-4041
Entity
Organization
Contact information
Practice address
33 UNION ST, SOUTH WEYMOUTH, MA 02190-2336
(781) 337-4041
(781) 331-7193
Mailing address
33 UNION ST, SOUTH WEYMOUTH, MA 02190-2336
(781) 337-4041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D18129
DELTA DENTAL. BCBS
MA
Enumeration date
03/19/2020
Last updated
03/19/2020
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