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Raymond Widican, DDS
Pediatric Dentist in Braintree, Massachusetts
NPI 1629047139

Raymond Widican is a Pediatric Dentist based in Boston, MA and is specialized in Pediatric Dentistry. Raymond Widican practices in Braintree, MA and has the professional credentials of DDS. The NPI Number for Raymond Widican is 1629047139 and holds a License No. 9962 (Massachusetts).

The current practice location address for Raymond Widican is 111 Grossman Dr, Braintree, MA and can be reached out via phone at 781-849-2255.

Location: 111 Grossman Dr, Braintree, MA, 02109-4806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629047139
Provider Name
Raymond Widican
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
111 Grossman Dr, Braintree, MA, 02109-4806
Phone Number
781-849-2255
Fax Number
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PH152 01 MA HARVARD PILGRIM
X03621 01 MA BCBS - DENTAL
institution
Provider Business Practice Location Address Details
Address
111 Grossman Dr
City
Braintree
State
Massachusetts
Zip
02184-4997
Phone Number
781-849-2255
Fax Number
person
Provider Business Mailing Address Details
Address
111 Grossman Dr
City
Braintree
State
Massachusetts
Zip
02184-4997
Phone Number
781-849-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
9962 (Massachusetts)
Definition
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.
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