| Class One Orthodontic Asso Llc | |
|
365 Burncoat St Worcester MA 01606 | |
| (508) 853-4003 | |
| (508) 854-8305 |
| Full Name | Class One Orthodontic Asso Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 365 Burncoat St, Worcester, Massachusetts |
| Authorized Official Name and Position | Faeze Fadiani (OWNER) |
| Authorized Official Contact | 5088534003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Class One Orthodontic Asso Llc 365 Burncoat St Worcester MA 01606 Ph: (508) 853-4003 | Class One Orthodontic Asso Llc 365 Burncoat St Worcester MA 01606 Ph: (508) 853-4003 |
| NPI Number | 1407908213 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407908213 | NPI | - | NPPES |
| 0260398 | Medicaid | MA |
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