Individual
BRENDAN TEEBAGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 HIGHLAND AVE, SOMERVILLE, MA 02143-1507
(617) 864-6111
Mailing address
180 HIGHLAND AVE, SOMERVILLE, MA 02143-1507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000506
MA
Other
Enumeration date
06/06/2024
Last updated
10/15/2025
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