| 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 |
|---|---|
| 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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