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Organization
WORCESTER DENTAL ARTS PLLC
Active
Organization
WORCESTER DENTAL ARTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HOULE (CREDENTIALING SPECIALIST)
(508) 589-8270
Entity
Organization
Contact information
Practice address
300 GROVE ST, WORCESTER, MA 01605-3908
(508) 589-8270
Mailing address
87 ELM ST STE 302, HOPKINTON, MA 01748-1638
(508) 589-8270
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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