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Organization
WORCESTER COSMETIC AND RESTORATIVE DENTISTRY GROUP PC
Active
Organization
WORCESTER COSMETIC AND RESTORATIVE DENTISTRY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIEN HEDSTROM DMD (PRESIDENT)
(603) 533-8501
Entity
Organization
Contact information
Practice address
1 W BOYLSTON ST STE 203, WORCESTER, MA 01605-1274
(603) 533-8501
Mailing address
301 LAKE SHORE DR APT 608, LAKE PARK, FL 33403-3501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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