Organization
BAY STATE ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW ARTHUR FISHER D.D.S. M.S. (OWNER)
(508) 850-7311
Entity
Organization
Contact information
Practice address
555 PROVIDENCE HWY, UNIT 1A, WALPOLE, MA 02081-4230
(508) 850-7311
(508) 850-7988
Mailing address
39 ACORN RD, NORTH EASTON, MA 02356-3624
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/17/2014
Last updated
06/24/2014
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