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1692 Massachusetts Ave Cambridge MA 02138-1878 | |
| (617) 492-3616 | |
| (617) 492-8415 |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1692 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Michael Joseph (OWNER/ENDODONTIST) |
| Authorized Official Contact | 6174923616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1692 Massachusetts Ave Cambridge MA 02138-1878 Ph: (617) 492-3616 | 1692 Massachusetts Ave Cambridge MA 02138-1878 Ph: (617) 492-3616 |
| NPI Number | 1063867000 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063867000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Massachusetts) | Primary |
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