OrganizationActive
Rafael Villacorta Family Dentistry
NPI 1700057346 · Oral and Maxillofacial Pathology Dentistry · Waltham, MA
Provider details
- NPI number
- 1700057346
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rafael Villacorta, President(781) 891-5637
- License
- 18063 (MA)
Specialties & taxonomies
Dental Providers
Practice location
24 Crescent St
Suite 303
Waltham, MA 02453-4358
Phone: (781) 891-5637
Fax: (781) 891-8925
Approximate (ZIP-level) locationGet directions
Mailing address
24 Crescent St
Waltham, MA 02453-4358
Registry dates
- Enumerated
- 2008-03-21
- Last updated
- 2008-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.