| Barry R Poprtnoy Dmd Pc | |
|
18 Lyman St Suite 204 Westborough MA 01581-1459 | |
| (508) 366-1700 | |
| (508) 366-5089 |
| Full Name | Barry R Poprtnoy Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 18 Lyman St, Westborough, Massachusetts |
| Authorized Official Name and Position | Barry R Portnoy (PRESIDENT) |
| Authorized Official Contact | 5083661700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry R Poprtnoy Dmd Pc 18 Lyman St Suite 204 Westborough MA 01581-1459 Ph: (508) 366-1700 | Barry R Poprtnoy Dmd Pc 18 Lyman St Suite 204 Westborough MA 01581-1459 Ph: (508) 366-1700 |
| NPI Number | 1104376961 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104376961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN12907 (Massachusetts) | Primary |
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Barry R Portnoy Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Lyman St, Westborough, MA 01581 Phone: 508-366-1700 Fax: 508-366-5089 | |
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