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Organization
CROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLC
Active
Organization
CROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLC
Active
Other names
W. David Kelly, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W DAVID KELLY DMD (SOLE MEMBER)
(508) 799-2550
Entity
Organization
Contact information
Practice address
59 QUINSIGAMOND AVE, WORCESTER, MA 01610-1867
(508) 799-2550
(508) 756-2923
Mailing address
59 QUINSIGAMOND AVE, WORCESTER, MA 01610-1867
(508) 799-2550
(508) 756-2923
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12222
MA
Other
Enumeration date
04/07/2010
Last updated
06/11/2010
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