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Organization
SWAN DENTAL LLC
Active
Organization
SWAN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENQI LI (DENTIST)
(508) 799-4626
Entity
Organization
Contact information
Practice address
111 ELM ST STE 101, WORCESTER, MA 01609-1967
(508) 799-4626
Mailing address
16 HARRINGTON AVE # A, SHREWSBURY, MA 01545-5268
(857) 636-2174
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1855122
MA
Other
Enumeration date
06/19/2017
Last updated
06/16/2018
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