Medford Endodontics, LLC
NPI #1780974477 in Medford, Massachusetts
Provider Information
- NPI Number
- 1780974477
- Entity Type
- Organization
- Organization Name
- Medford Endodontics, LLC
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Apr 14, 2011
- Last Updated
- Apr 14, 2011
Practice Location
- Address
- ZERO GOVERNORS AVENUE, SUITE 30
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-3006
- Phone
- (781) 391-5100
Authorized Official
- Name
- DR. MARK G WANG, D.M.D.
- Title
- PRESIDENT
- Phone
- (781) 391-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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