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257 Turnpike Rd Suite 330 Southborough MA 01772-1791 | |
| (508) 281-6464 | |
| (508) 281-6677 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 257 Turnpike Rd, Southborough, Massachusetts |
| Authorized Official Name and Position | Gokulan Thiagarajah (VICE- PRESIDENT) |
| Authorized Official Contact | 5089622332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
257 Turnpike Rd Suite 330 Southborough MA 01772-1791 Ph: (508) 281-6464 | 257 Turnpike Rd Suite 330 Southborough MA 01772-1791 Ph: (508) 281-6464 |
| NPI Number | 1326340910 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326340910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18683 (Massachusetts) | Primary |
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