Organization
AE ASSOCIATED ENDODONTISTS, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE SHAW (DIRECTOR OF REVENUE CYCLE)
(781) 562-0457
Entity
Organization
Contact information
Practice address
1 BELMONT AVE STE 316, BALA CYNWYD, PA 19004-1604
(215) 477-8941
(215) 477-8943
Mailing address
500 CHAPMAN ST FL 1, CANTON, MA 02021-2093
(781) 562-0457
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS028139L
PA
Other
Enumeration date
03/21/2007
Last updated
09/17/2024
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