Stephen Waxman Dmd, LLC
NPI #1699042432 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1699042432
- Entity Type
- Organization
- Organization Name
- Stephen Waxman Dmd, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 22, 2011
- Last Updated
- Nov 22, 2011
Practice Location
- Address
- 255 PARK AVE
- Address 2
- SUITE 904
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01609-1953
- Phone
- (508) 755-1980
Authorized Official
- Name
- STEPHEN WAXMAN
- Title
- DMD
- Phone
- (508) 755-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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