Organization
PREMIER ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BELLA BATSEVITSKY D.M.D. (MANAGER/OWNER)
(617) 935-1528
Entity
Organization
Contact information
Practice address
271 WAVERLEY OAKS RD STE 101, WALTHAM, MA 02452-8475
(617) 935-1528
Mailing address
15 RIVER PARK ST, NEEDHAM, MA 02494-2616
(617) 935-1528
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN1855136
MA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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