Organization
ENDODONTIC PRACTICE PARTNERS MA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY CLUETT (CREDENTIALING COORDINATOR)
(315) 399-7433
Entity
Organization
Contact information
Practice address
1 BROOKLINE PL STE 505, BROOKLINE, MA 02445-7277
(617) 735-8500
Mailing address
PO BOX 1584, BRENTWOOD, TN 37024-1584
(615) 422-6700
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
03/26/2024
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