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131 Main Street South Lancaster MA 01561 | |
(978) 365-5643 | |
(978) 368-0145 |
Full Name | |
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Speciality | Dentist |
Location | 131 Main Street, South Lancaster, Massachusetts |
Authorized Official Name and Position | Michele A. Cadoret (OFFICE MANAGER) |
Authorized Official Contact | 9783655643 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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131 Main Street P.o. Box 606 South Lancaster MA 01561 Ph: (978) 365-5643 | 131 Main Street South Lancaster MA 01561 Ph: (978) 365-5643 |
NPI Number | 1992914139 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 07/17/2015 |
Identifier | Type | State | Issuer |
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1992914139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 11331 (Massachusetts) | Primary |