| North Cambridge Dental, P.c. | |
|
2210 Massachusetts Ave Cambridge MA 02140-1892 | |
| (617) 876-8636 | |
| (617) 661-4894 |
| Full Name | North Cambridge Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2210 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Loren Jay Wilson (PRESIDENT) |
| Authorized Official Contact | 6178768636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Cambridge Dental, P.c. 2210 Massachusetts Ave Cambridge MA 02140-1892 Ph: (617) 876-8636 | North Cambridge Dental, P.c. 2210 Massachusetts Ave Cambridge MA 02140-1892 Ph: (617) 876-8636 |
| NPI Number | 1235251695 |
|---|---|
| Provider Enumeration Date | 04/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235251695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14418 (Massachusetts) | Primary |
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