John D Meola, D.d.s., P.c.

NPI #1063513869 in Waltham, Massachusetts

Provider Information

NPI Number: 1063513869
Entity Type: Organization
Organization Name: John D Meola, D.d.s., P.c.
Primary Specialty: Dentist
Enumeration Date: Sep 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 40 2ND AVE
Address 2: SUITE 500
City: Waltham
State: Massachusetts
ZIP Code: 02451-1132
Phone: (781) 890-4900

Authorized Official

Name: MRS. KATHLEEN ANN RUSSELL
Title: BUSINESS MANAGER
Phone: (781) 890-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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