Somerville Dentistry and Braces, P.c.
NPI #1053893115 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1053893115
- Entity Type
- Organization
- Organization Name
- Somerville Dentistry and Braces, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 5, 2018
- Last Updated
- Sep 5, 2018
Practice Location
- Address
- 5 MIDDLESEX AVE STE 305
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02145-1110
- Phone
- (508) 872-3072
Authorized Official
- Name
- JOANNE TAVANO
- Title
- CFO
- Phone
- (978) 580-1524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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