Russell Street Dental Associates,llc
NPI #1023484375 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1023484375
- Entity Type
- Organization
- Organization Name
- Russell Street Dental Associates,llc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 20, 2015
- Last Updated
- Aug 20, 2015
Practice Location
- Address
- 227 RUSSELL ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01602-2126
- Phone
- (508) 791-1777
Authorized Official
- Name
- DR. ROBERT J GAUTHIER JR., DMD
- Title
- MANAGER
- Phone
- (508) 791-1777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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