Premier Endodontics Llc | |
271 Waverley Oaks Rd Ste 101 Waltham MA 02452-8475 | |
(617) 935-1528 | |
Not Available |
Full Name | Premier Endodontics Llc |
---|---|
Speciality | Dentist - Endodontics |
Location | 271 Waverley Oaks Rd Ste 101, Waltham, Massachusetts |
Authorized Official Name and Position | Bella Batsevitsky (MANAGER/OWNER) |
Authorized Official Contact | 6179351528 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premier Endodontics Llc 15 River Park St Needham MA 02494-2616 Ph: (617) 935-1528 | Premier Endodontics Llc 271 Waverley Oaks Rd Ste 101 Waltham MA 02452-8475 Ph: (617) 935-1528 |
NPI Number | 1619230364 |
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Provider Enumeration Date | 06/18/2012 |
Last Update Date | 06/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619230364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | DN1855136 (Massachusetts) | Primary |
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