Pediatric Dental of Wayland
NPI #1639538523 in Wayland, Massachusetts
Provider Information
- NPI Number
- 1639538523
- Entity Type
- Organization
- Organization Name
- Pediatric Dental of Wayland
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 19, 2016
- Last Updated
- Feb 19, 2016
Practice Location
- Address
- 96 ANDREW AVE
- City
- Wayland
- State
- Massachusetts
- ZIP Code
- 01778-3025
- Phone
- (508) 358-2200
Authorized Official
- Name
- DR. REEM ANTUN LAGO, DMD
- Title
- DENTIST
- Phone
- (617) 947-4971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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