Organization · Type 2 NPI

Crystal Lake Dental PC

General Practice Dentistry · Wakefield, MA

NPI number 1700059441 Active

About NPI 1700059441

Crystal Lake Dental PC's National Provider Identifier is 1700059441, issued on Apr 2, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wakefield, MA. The record was last updated on Jun 15, 2008.