Greendale Dental
NPI #1730305228 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1730305228
- Entity Type
- Organization
- Organization Name
- Greendale Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Feb 7, 2012
Practice Location
- Address
- 500 W BOYLSTON ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01606-2058
- Phone
- (508) 852-6616
Authorized Official
- Name
- DR. KERRY MARK GROLMAN, D.D.S.
- Title
- OWNER
- Phone
- (508) 852-6616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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