| Wellesley Endodontics PC | |
|
40 Grove St Suite 420 Wellesley MA 02482-7702 | |
| (781) 237-1801 | |
| Not Available |
| Full Name | Wellesley Endodontics PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 40 Grove St, Wellesley, Massachusetts |
| Authorized Official Name and Position | Maryam Shomali (PRESIDENT) |
| Authorized Official Contact | 7812371801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellesley Endodontics PC 40 Grove St Suite 420 Wellesley MA 02482-7702 Ph: (781) 237-1801 | Wellesley Endodontics PC 40 Grove St Suite 420 Wellesley MA 02482-7702 Ph: (781) 237-1801 |
| NPI Number | 1275819211 |
|---|---|
| Provider Enumeration Date | 10/21/2011 |
| Last Update Date | 10/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275819211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 17718 (Massachusetts) | Primary |
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