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 |
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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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