Crompton Park Oral Surgery and Implant Associates, LLP
NPI #1093998387 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1093998387
- Entity Type
- Organization
- Organization Name
- Crompton Park Oral Surgery and Implant Associates, LLP
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Dec 10, 2007
- Last Updated
- Dec 10, 2007
Practice Location
- Address
- 59 QUINSIGAMOND AVE
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01610-1806
- Phone
- (508) 799-2550
Authorized Official
- Name
- W DAVID KELLY, DMD
- Title
- MEMBER
- Phone
- (508) 799-2550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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