Organization
WELLESLEY ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM SHOMALI DMD (PRESIDENT)
(781) 237-1801
Entity
Organization
Contact information
Practice address
40 GROVE ST, SUITE 420, WELLESLEY, MA 02482-7702
(781) 237-1801
Mailing address
40 GROVE ST, SUITE 420, WELLESLEY, MA 02482-7702
(781) 237-1801
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17718
MA
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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