Rafael Villacorta Family Dentistry

NPI #1700057346 in Waltham, Massachusetts

Provider Information

NPI Number: 1700057346
Entity Type: Organization
Organization Name: Rafael Villacorta Family Dentistry
Primary Specialty: Dentist - Oral and Maxillofacial Pathology
Enumeration Date: Mar 21, 2008
Last Updated: Mar 21, 2008

Practice Location

Address: 24 CRESCENT ST
Address 2: SUITE 303
City: Waltham
State: Massachusetts
ZIP Code: 02453-4358
Phone: (781) 891-5637

Authorized Official

Name: DR. RAFAEL E VILLACORTA, DMD
Title: PRESIDENT
Phone: (781) 891-5637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology	1223P0106X	Primary

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