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119 S Main St Leicester MA 01524-1403 | |
(508) 892-4882 | |
(508) 892-4279 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 119 S Main St, Leicester, Massachusetts |
Authorized Official Name and Position | John J Millette (OWNER) |
Authorized Official Contact | 5088924882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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119 S Main St Leicester MA 01524-1403 Ph: (508) 892-4882 | 119 S Main St Leicester MA 01524-1403 Ph: (508) 892-4882 |
NPI Number | 1336171115 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336171115 | NPI | - | NPPES |
X11875 | Other | MA | BCBS |