Individual provider · Type 1 NPI

Raymond Widican, DDS

Pediatric Dentistry · Braintree, MA

NPI number 1629047139 Active

Practice location

111 Grossman Dr
Braintree, MA 02184-4997

Call (781) 849-2255 Map

Mailing address

147 Milk St, Provider Enrollment 9th Floor
Boston, MA 02109-4806

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X9962 (MA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

92 other providers at this address

About NPI 1629047139

Raymond Widican, DDS's National Provider Identifier is 1629047139, issued on Mar 16, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Braintree, MA. The record was last updated on Apr 8, 2009.