# LAURIE MANTHOS, D.M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285750596
- **Authorized official:** DR. LAURIE MANTHOS D.M.D. (OWNER)
- **Authorized official phone:** (508) 752-2100

## Contact information

- **Practice address:** 200 LINCOLN ST, SUITE 1, WORCESTER, MA 01605-2528
- **Practice address phone:** (508) 752-2100
- **Mailing address:** 200 LINCOLN ST, SUITE 1, WORCESTER, MA 01605-2528
- **Mailing address phone:** (508) 752-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 16823 | MA | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 01/11/2008