# TEC DENTAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790551398
- **Authorized official:** KERSTIN MARRAMA (VP OF HR)
- **Authorized official phone:** (781) 562-3442

## Contact information

- **Practice address:** 1601 WALNUT ST STE 402, PHILADELPHIA, PA 19102-2903
- **Practice address phone:** (215) 972-0181
- **Mailing address:** 500 CHAPMAN ST, CANTON, MA 02021-2093
- **Mailing address phone:** (781) 562-3442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 11/27/2023
- **Last updated:** 11/27/2023