Organization · Type 2 NPI
Dr.eric Gheewalla
Dental Clinic/Center · Medford, MA
NPI number
1730800400
Active
Practice location
82 Forest St
Medford, MA 02155-3105
Fax (781) 396-4224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1730800400
Dr.eric Gheewalla's National Provider Identifier is 1730800400, issued on Sep 9, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Medford, MA. The record was last updated on Sep 9, 2022.