Crompton Park Oral Surgery and Implant Associates, LLC

NPI #1033434659 in Worcester, Massachusetts

Provider Information

NPI Number
1033434659
Entity Type
Organization
Organization Name
Crompton Park Oral Surgery and Implant Associates, LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Apr 7, 2010
Last Updated
Jun 11, 2010

Practice Location

Address
59 QUINSIGAMOND AVE
ZIP Code
01610-1867
Phone
(508) 799-2550

Authorized Official

Name
DR. W DAVID KELLY, DMD
Title
SOLE MEMBER
Phone
(508) 799-2550

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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