| Endodontic Specialists Andover | |
|
140 Willow St # 2 North Andover MA 01845-5918 | |
| (978) 686-3500 | |
| Not Available |
| Full Name | Endodontic Specialists Andover |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 140 Willow St # 2, North Andover, Massachusetts |
| Authorized Official Name and Position | Ian B Glick (PRESIDENT) |
| Authorized Official Contact | 9786873131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Specialists Andover 11 Apache Ave Andover MA 01810-4738 Ph: (978) 687-3131 | Endodontic Specialists Andover 140 Willow St # 2 North Andover MA 01845-5918 Ph: (978) 686-3500 |
| NPI Number | 1366940389 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366940389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Massachusetts) | Primary |
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