| NPI | 1528525482 |
|---|---|
| Doing Business As | WALTHAM MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY FALONE Owner/Dds 781-684-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2022-06-14 |