Common Park Dental

NPI #1699125708 in Worcester, Massachusetts

Provider Information

NPI Number: 1699125708
Entity Type: Organization
Organization Name: Common Park Dental
Primary Specialty: Dentist
Enumeration Date: Jun 20, 2016
Last Updated: Jun 20, 2016

Practice Location

Address: 111 ELM ST
Address 2: SUITE 203
City: Worcester
State: Massachusetts
ZIP Code: 01609-1967
Phone: (508) 502-7881

Authorized Official

Name: KEVIN GUZE, DMD
Title: OWNER
Phone: (508) 502-7881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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