DR. Brock Riedel, DMD
NPI #1750010542 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1750010542
- Entity Type
- Individual
- Name
- DR. Brock Riedel, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jun 7, 2022
- Last Updated
- Aug 2, 2022
Practice Location
- Address
- 862 LEXINGTON ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02452-4849
- Phone
- (781) 684-9714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Student in an Organized Health Care Education/Training Program |
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