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Organization
SIMPLY DENTAL AT WORCESTER, PLLC
Active
Organization
SIMPLY DENTAL AT WORCESTER, PLLC
Active
Parent organization
SIMPLY DENTAL AT WORCESTER, PLLC
Other names
Dr. Stephen Waxman
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIMPLY DENTAL AT WORCESTER, PLLC
Authorized official
AIMEE HODGERNEY (CREDENTIALING)
(508) 589-8270
Entity
Organization
Contact information
Practice address
255 PARK AVE STE 904, WORCESTER, MA 01609-1978
(508) 589-8270
Mailing address
87 ELM ST, HOPKINTON, MA 01748-1638
(508) 589-8270
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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