Organization
SUDBURY ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIUSHA NIKKHOLGH DMD (ENDODONTIST)
(617) 717-4316
Entity
Organization
Contact information
Practice address
111 BOSTON POST RD STE 215, SUDBURY, MA 01776-2457
(978) 579-4403
Mailing address
111 BOSTON POST RD STE 215, SUDBURY, MA 01776-2457
(978) 579-4403
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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