| Centre Endodontics, LLC | |
|
486 Washington St Lowr Level Wellesley MA 02482-5971 | |
| (617) 410-8595 | |
| Not Available |
| Full Name | Centre Endodontics, LLC |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 486 Washington St Lowr Level, Wellesley, Massachusetts |
| Authorized Official Name and Position | Miguel a Roque (ENDODONTIST/OWNER) |
| Authorized Official Contact | 6174108595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centre Endodontics, LLC 486 Washington St Lowr Level Wellesley MA 02482-5971 Ph: (617) 410-8595 | Centre Endodontics, LLC 486 Washington St Lowr Level Wellesley MA 02482-5971 Ph: (617) 410-8595 |
| NPI Number | 1801574819 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801574819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (NU) | Primary |
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