Individual
DR. THERESE VENEDIKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
84 HIGH ST STE 7, MEDFORD, MA 02155-3844
(781) 393-8877
(781) 393-0040
Mailing address
84 HIGH ST STE 7, MEDFORD, MA 02155-3844
(781) 393-8877
(781) 393-0040
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
18238
MA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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