Weston Pediatric Dental PC

NPI #1790093490 in Weston, Massachusetts

Provider Information

NPI Number: 1790093490
Entity Type: Organization
Organization Name: Weston Pediatric Dental PC
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2010
Last Updated: Sep 16, 2010

Practice Location

Address: 450 BOSTON POST RD
City: Weston
State: Massachusetts
ZIP Code: 02493-1529
Phone: (781) 893-3003

Authorized Official

Name: DR. REEM ANTUN LAGO, DMD
Title: DENTIST/OWNER
Phone: (781) 893-3003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X

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