| Oral Surgery Partners Pc | |
|
388 Park Ave Worcester MA 01610-1025 | |
| (508) 798-6565 | |
| Not Available |
| Full Name | Oral Surgery Partners Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 388 Park Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | Joanne Tavano (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9785801524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Partners Pc 5 Mount Royal Ave Suite 300 Marlborough MA 01752-1981 Ph: () - | Oral Surgery Partners Pc 388 Park Ave Worcester MA 01610-1025 Ph: (508) 798-6565 |
| NPI Number | 1982149514 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982149514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN1857191 (Massachusetts) | Primary |
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