| Russell Street Dental Associates,llc | |
|
227 Russell St Worcester MA 01602-2126 | |
| (508) 791-1777 | |
| (508) 792-0244 |
| Full Name | Russell Street Dental Associates,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 227 Russell St, Worcester, Massachusetts |
| Authorized Official Name and Position | Robert J Gauthier (MANAGER) |
| Authorized Official Contact | 5087911777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Street Dental Associates,llc 227 Russell St Worcester MA 01602-2126 Ph: (508) 791-1777 | Russell Street Dental Associates,llc 227 Russell St Worcester MA 01602-2126 Ph: (508) 791-1777 |
| NPI Number | 1023484375 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 08/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023484375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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