Super Dental of Worcester Pllc

NPI #1689391567 in Worcester, Massachusetts

Provider Information

NPI Number: 1689391567
Entity Type: Organization
Organization Name: Super Dental of Worcester Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 21, 2022
Last Updated: Oct 24, 2022

Practice Location

Address: 227 RUSSELL ST
City: Worcester
State: Massachusetts
ZIP Code: 01602-2126
Phone: (508) 589-8270

Authorized Official

Name: AIMEE HODGERNEY
Title: CREDENTIALING
Phone: (508) 589-8270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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