Organization
MARLBOROUGH ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOANNE TAVANO (CFO)
(978) 580-1524
Entity
Organization
Contact information
Practice address
126 UNION ST OFC 6, MARLBOROUGH, MA 01752-1207
(508) 787-0070
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 787-0070
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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