Children's Dental of Waltham, P.c.
NPI #1184768426 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1184768426
- Entity Type
- Organization
- Organization Name
- Children's Dental of Waltham, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 695 MAIN ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-0609
- Phone
- (781) 899-7070
Authorized Official
- Name
- DR. YELENA V. GUTNICHENKO, D.M.D.
- Title
- PRESIDENT
- Phone
- (781) 899-7070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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