Therese H Venedikian Dmd Pc | |
84 High St Ste 7 Medford MA 02155-3844 | |
(781) 393-8877 | |
(781) 393-0040 |
Full Name | Therese H Venedikian Dmd Pc |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 84 High St, Medford, Massachusetts |
Authorized Official Name and Position | Therese H Venedikian (PRESIDENT) |
Authorized Official Contact | 7813938877 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therese H Venedikian Dmd Pc 84 High St Ste 7 Medford MA 02155-3844 Ph: (781) 393-8877 | Therese H Venedikian Dmd Pc 84 High St Ste 7 Medford MA 02155-3844 Ph: (781) 393-8877 |
NPI Number | 1619003548 |
---|---|
Provider Enumeration Date | 02/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619003548 | NPI | - | NPPES |
X07111 | Other | MA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | 18238 (Massachusetts) | Primary |
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