Organization
CENTRE ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL A ROQUE DMD, MMSC (ENDODONTIST/OWNER)
(617) 410-8595
Entity
Organization
Contact information
Practice address
486 WASHINGTON ST LOWR LEVEL, WELLESLEY, MA 02482-5971
(617) 410-8595
Mailing address
486 WASHINGTON ST LOWR LEVEL, WELLESLEY, MA 02482-5971
(617) 410-8595
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
12/10/2024
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