Individual
EDWARD ROOT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
256 GREAT RD, SUITE 5, LITTLETON, MA 01460-1916
(978) 534-9216
(978) 537-6931
Mailing address
256 GREAT RD, SUITE 5, LITTLETON, MA 01460-1916
(978) 534-9216
(978) 537-6931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10774
MA
Other
Enumeration date
06/25/2006
Last updated
07/08/2007
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