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Organization
SIMPLY DENTAL OF WORCESTER SOUTH PLLC
Active
Organization
SIMPLY DENTAL OF WORCESTER SOUTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSSAM ALKHOURY (OWNER)
(508) 589-8270
Entity
Organization
Contact information
Practice address
10 WINTHROP ST STE 2, WORCESTER, MA 01604-4445
(508) 589-8270
(508) 435-2690
Mailing address
87 ELM ST STE 302, HOPKINTON, MA 01748-1638
(508) 589-8270
(508) 435-2690
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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