Most Relevant Information
Provider Data
| NPI Number: | 1003029679 |
| Provider Name: | RICHARD NIEDERMAN DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0300X |
| Specialty: | Dentist |
| License Number: | 13692 |
Most Important Dates
| Enumeration Date: | 05/08/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
140 FENWAY
BOSTON
MA
021153782
Practice Location Phone/Fax
| Phone: | 6178928374 |
| Fax: | 6172624021 |
Provider Mailing Location
140 FENWAY
BOSTON
MA
021153782
Provider Mailing Phone/Fax
| Phone: | 6178928374 |
| Fax: | 6172624021 |