Dedham Medical Assoc INC
NPI #1205836376 in Dedham, Massachusetts
Provider Information
- NPI Number
- 1205836376
- Entity Type
- Organization
- Organization Name
- Dedham Medical Assoc INC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Jul 29, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1 LYONS ST
- City
- Dedham
- State
- Massachusetts
- ZIP Code
- 02026-5599
- Phone
- (781) 329-1400
Authorized Official
- Name
- MR. RICHARD M RUSSO
- Title
- CFO
- Phone
- (781) 278-5540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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