Organization
ENDODONTIC ASSOCIATES OF LEXINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA FULTON DMD (HEAD ASSOC)
(781) 760-4928
Entity
Organization
Contact information
Practice address
33 BEDFORD ST, SUITE 15, LEXINGTON, MA 02420-4319
(781) 862-9222
Mailing address
33 BEDFORD ST, SUITE 15, LEXINGTON, MA 02420-4319
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
16260
MA
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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