Organization
ADVANCED ENDODONTIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK G WANG D.M.D (PRESIDENT)
(978) 531-3400
Entity
Organization
Contact information
Practice address
39 CROSS ST STE 304, PEABODY, MA 01960-1666
(978) 531-3400
(978) 531-3415
Mailing address
39 CROSS ST STE 304, PEABODY, MA 01960-1666
(978) 531-3400
(978) 531-3415
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
20514
MA
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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