| Eagle Endodontics, Inc | |
|
19 Muzzey St 210 Lexington MA 02421-5256 | |
| (781) 863-2453 | |
| Not Available |
| Full Name | Eagle Endodontics, Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 19 Muzzey St, Lexington, Massachusetts |
| Authorized Official Name and Position | Ali Sarraf (PRESIDENT) |
| Authorized Official Contact | 6177674829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Endodontics, Inc 108 4th St Medford MA 02155-5018 Ph: (617) 767-4829 | Eagle Endodontics, Inc 19 Muzzey St 210 Lexington MA 02421-5256 Ph: (781) 863-2453 |
| NPI Number | 1215379375 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 09/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215379375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 21378 (Massachusetts) | Primary |
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