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Organization
MARLBOROUGH DENTAL SPECIALTIES, PC
Active
Organization
MARLBOROUGH DENTAL SPECIALTIES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TODD PACHELLO (CHIEF REVENUE OFFICER)
(720) 475-6482
Entity
Organization
Contact information
Practice address
544 SOUTHBRIDGE ST, WORCESTER, MA 01610-1757
(774) 374-2327
(774) 374-2328
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 872-3072
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
03/11/2026
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