| Marlborough Dental Specialties, Pc | |
|
544 Southbridge St Worcester MA 01610-1757 | |
| (774) 374-2327 | |
| (774) 374-2328 |
| Full Name | Marlborough Dental Specialties, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 544 Southbridge St, Worcester, Massachusetts |
| Authorized Official Name and Position | Joanne Tavano (CFO) |
| Authorized Official Contact | 9785801524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlborough Dental Specialties, Pc 5 Mount Royal Ave Ste 300 Marlborough MA 01752-1900 Ph: (508) 872-3072 | Marlborough Dental Specialties, Pc 544 Southbridge St Worcester MA 01610-1757 Ph: (774) 374-2327 |
| NPI Number | 1356933188 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 09/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356933188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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