| NPI | 1649353921 |
|---|---|
| Doing Business As | VALLEY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TAMMY LEWIS Payer Enrollment Supervisor 781-213-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-02-18 |