Elliot W Salloway Dmd Inc | |
111 Elm St Ste 203 Worcester MA 01609 | |
(508) 752-1302 | |
(508) 753-5801 |
Full Name | Elliot W Salloway Dmd Inc |
---|---|
Speciality | Dentist - Periodontics |
Location | 111 Elm St, Worcester, Massachusetts |
Authorized Official Name and Position | Elliot W Salloway (PRESIDENT TREASURER) |
Authorized Official Contact | 5087521302 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elliot W Salloway Dmd Inc 111 Elm St Ste 203 Worcester MA 01609 Ph: (508) 752-1302 | Elliot W Salloway Dmd Inc 111 Elm St Ste 203 Worcester MA 01609 Ph: (508) 752-1302 |
NPI Number | 1164440517 |
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Provider Enumeration Date | 07/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164440517 | NPI | - | NPPES |
000608 | Other | MA | DELTA DENTAL OF MA |
10444 | Other | MA | BCBS MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 9215 (Massachusetts) | Primary |
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