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Dr. Rafael Villacorta, DMD
General Practice Dentistry in Waltham, Massachusetts
NPI 1952471708

Rafael Villacorta is a General Practice Dentistry based in Waltham, MA and is specialized in General Practice. Rafael Villacorta practices in Waltham, MA and has the professional credentials of DMD. The NPI Number for Rafael Villacorta is 1952471708 and holds a License No. 18063 (Massachusetts).

The current practice location address for Rafael Villacorta is 24 Crescent St, Waltham, MA and can be reached out via phone at 781-891-5637 and via fax at 781-891-8926.

Location: 24 Crescent St, Waltham, MA, 02453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952471708
Provider Name
Rafael Villacorta
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
24 Crescent St, Waltham, MA, 02453
Phone Number
781-891-5637
Fax Number
781-891-8926
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9708049 05 MA
0274771 05 MA
institution
Provider Business Practice Location Address Details
Address
24 Crescent St
City
Waltham
State
Massachusetts
Zip
02453
Phone Number
781-891-5637
Fax Number
781-891-8926
person
Provider Business Mailing Address Details
Address
24 Crescent St
City
Waltham
State
Massachusetts
Zip
02453
Phone Number
781-891-5637
Fax Number
781-891-8926
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
18063 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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