| NPI | 1396805313 |
|---|---|
| Doing Business As | WALTHAM DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN C TAM General Partner 508-820-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-11-20 |