| Laurie Manthos, D.m.d., P.c. | |
|
200 Lincoln St Suite 1 Worcester MA 01605-2528 | |
| (508) 752-2100 | |
| Not Available |
| Full Name | Laurie Manthos, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 200 Lincoln St, Worcester, Massachusetts |
| Authorized Official Name and Position | Laurie Manthos (OWNER) |
| Authorized Official Contact | 5087522100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Manthos, D.m.d., P.c. 200 Lincoln St Suite 1 Worcester MA 01605-2528 Ph: (508) 752-2100 | Laurie Manthos, D.m.d., P.c. 200 Lincoln St Suite 1 Worcester MA 01605-2528 Ph: (508) 752-2100 |
| NPI Number | 1285750596 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285750596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 16823 (Massachusetts) | Primary |
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