Organization
EAGLE ENDODONTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SARRAF DMD (PRESIDENT)
(617) 767-4829
Entity
Organization
Contact information
Practice address
19 MUZZEY ST, 210, LEXINGTON, MA 02421-5256
(781) 863-2453
Mailing address
108 4TH ST, MEDFORD, MA 02155-5018
(617) 767-4829
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21378
MA
Other
Enumeration date
07/17/2013
Last updated
09/09/2013
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