| Arena Dental Llc | |
|
1049 Main St Worcester MA 01603-2485 | |
| (617) 633-7121 | |
| Not Available |
| Full Name | Arena Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1049 Main St, Worcester, Massachusetts |
| Authorized Official Name and Position | Andrey Mazo (PRESIDENT) |
| Authorized Official Contact | 5088701911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arena Dental Llc 1049 Main St Worcester MA 01603-2485 Ph: (617) 633-7121 | Arena Dental Llc 1049 Main St Worcester MA 01603-2485 Ph: (617) 633-7121 |
| NPI Number | 1487892683 |
|---|---|
| Provider Enumeration Date | 01/26/2009 |
| Last Update Date | 01/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487892683 | NPI | - | NPPES |
| 0277975 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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