Rafael Villacorta Family Dentistry
Rafael Villacorta Family Dentistry is an Oral and Maxillofacial Pathology Dentistry in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.
- Licensed in
- MA
- In the registry since
- 2008
Practice location Address checks out
24 Crescent St Ste 303Waltham, MA 02453-4358
Phone: (781) 891-5637
Fax: (781) 891-8925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Pathology Dentistry (primary) | Taxonomy 1223P0106X · Licence 18063 (MA) |
|---|
Record details
| NPI number | 1700057346 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rafael Villacorta — President · (781) 891-5637 |
| NPI enumerated | March 21, 2008 |
| Last updated in NPPES | March 21, 2008 |
| Mailing address | 24 Crescent St, Suite 303, Waltham, MA 02453-4358 |