Central Ma Orthodontic Associates PC
NPI #1003982786 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1003982786
- Entity Type
- Organization
- Organization Name
- Central Ma Orthodontic Associates PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRAL MA ORTHODONTIC ASSOCIATES PC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Nov 27, 2006
- Last Updated
- Nov 13, 2015
Practice Location
- Address
- 100 MLK JR. BOULEVARD
- Address 2
- SUITE 500
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01608-1209
- Phone
- (508) 753-2489
Authorized Official
- Name
- LISA MARIE GIARRUSSO, DMD
- Title
- PRESIDENT TREASURE CMOA PC ORTHODON
- Phone
- (508) 753-2489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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