Somerville Pediatric Dentistry PC
NPI #1740061613 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1740061613
- Entity Type
- Organization
- Organization Name
- Somerville Pediatric Dentistry PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 9, 2023
- Last Updated
- Oct 9, 2023
Practice Location
- Address
- 51 CROSS ST
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02145-3244
- Phone
- (617) 227-2421
Authorized Official
- Name
- DR. LEE W THACH, DMD
- Title
- PEDIATRIC DENTIST
- Phone
- (617) 227-2421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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