Organization
THERESE H VENEDIKIAN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE H VENEDIKIAN DMD (PRESIDENT)
(781) 393-8877
Entity
Organization
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X07111
BCBS
MA
Enumeration date
02/26/2007
Last updated
08/22/2020
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