Commonwealth Periodontics
Commonwealth Periodontics is a Periodontics in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2014.
- Licensed in
- MA
- In the registry since
- 2014
Practice location Address checks out
48 Elm StWorcester, MA 01609-2541
Phone: (150) 875-4122
Fax: (508) 754-9378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 20952 (MA) |
|---|
Record details
| NPI number | 1023425808 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Depatie — Director Of Operations · (508) 754-1122 |
| NPI enumerated | July 14, 2014 |
| Last updated in NPPES | July 14, 2014 |
| Mailing address | 48 Elm St, Worcester, MA 01609-2541 |
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