Search › Massachusetts › 122300000X
Brock Riedel, DMD
NPI 1750010542 · on the registry since 2022 · sole proprietor
Practice
- Address
- 862 Lexington St
Waltham, MA 02452 - Phone
- (781) 684-9714
- Organisation at this address
- Waltham Modern Dentistry, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts