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57 E Main St Ste 203 Westborough MA 01581-1445 | |
| (866) 988-4504 | |
| (866) 815-3719 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 57 E Main St Ste 203, Westborough, Massachusetts |
| Authorized Official Name and Position | Amy Christy-duncan (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 7377872049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5555 N Lamar Blvd Ste H125 Austin TX 78751-1096 Ph: (866) 988-4504 | 57 E Main St Ste 203 Westborough MA 01581-1445 Ph: (866) 988-4504 |
| NPI Number | 1609623149 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609623149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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