| Grace Family Dental Llc | |
|
16 Park Ave Worcester MA 01605-3911 | |
| (508) 425-7180 | |
| Not Available |
| Full Name | Grace Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 16 Park Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | Harjeet Mundra (OWNER) |
| Authorized Official Contact | 5084257180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family Dental Llc 16 Park Ave Worcester MA 01605-3911 Ph: () - | Grace Family Dental Llc 16 Park Ave Worcester MA 01605-3911 Ph: (508) 425-7180 |
| NPI Number | 1811224686 |
|---|---|
| Provider Enumeration Date | 11/15/2009 |
| Last Update Date | 11/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811224686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21183 (Massachusetts) | Primary |
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