Gustavo Perdomo in Westwood - Prosthodontics

Gustavo Perdomo - NPI 1710153663

Gustavo Perdomo is a Prosthodontics in Westwood, Massachusetts. Gustavo Perdomo practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Gustavo Perdomo is 1710153663. The last update date is 2020-03-31.

Gustavo Perdomo's current location address is 46 Arcadia Rd, Westwood, Massachusetts. You can contact this provider via phone number 6179669159. The mailing address for Gustavo Perdomo is 46 Arcadia Rd, Westwood, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Gustavo Perdomo
Address 46 Arcadia Rd, Westwood, Massachusetts
Phone Number 6179669159
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1710153663
Provider Enumeration Date 2008-05-01
Last Updated Date 2020-03-31

Provider Mailing Address Detail

Address 46 Arcadia Rd
City Westwood
State Massachusetts (MA)
Post Code 20903202
Phone Number 6179669159
Fax Number

Provider's Primary Taxonomy Detail

Speciality Prosthodontics
Taxonomy 1223P0700X
Licence No 21628
Definition:
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial

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FAQs about Gustavo Perdomo

What is the unique provider identifier assigned to Gustavo Perdomo?

The Gustavo Perdomo has been issued the NPI (National Provider Identifier) 1710153663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Gustavo Perdomo?

The Gustavo Perdomo is situated at 46 Arcadia Rd, in the city of Westwood, state of MA, with the zip code 20903202.

What is Gustavo Perdomo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gustavo Perdomo is Prosthodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710153663 to Gustavo Perdomo?

The Centers for Medicare & Medicaid Services originally issued the 1710153663 to Gustavo Perdomo on 2008-05-01.

As of what date was the information regarding Gustavo Perdomo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gustavo Perdomo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-03-31.

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