Medford Main Street Dental P.c.

NPI #1124894894 in Medford, Massachusetts

Provider Information

NPI Number: 1124894894
Entity Type: Organization
Organization Name: Medford Main Street Dental P.c.
Primary Specialty: Dentist
Enumeration Date: Dec 4, 2023
Last Updated: Dec 4, 2023

Practice Location

Address: 101 MAIN ST STE 207
City: Medford
State: Massachusetts
ZIP Code: 02155-4530
Phone: (917) 455-6237

Authorized Official

Name: DR. TIEN DO, DMD
Title: OWNER
Phone: (917) 455-6237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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