Organization
CENTRAL MA ORTHODONTIC ASSOCIATES PC
Active
Parent organization
CENTRAL MA ORTHODONTIC ASSOCIATES PC
Other names
CMOA PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL MA ORTHODONTIC ASSOCIATES PC
Authorized official
LISA MARIE GIARRUSSO DMD (PRESIDENT TREASURE CMOA PC ORTHODON)
(508) 753-2489
Entity
Organization
Contact information
Practice address
100 MLK JR. BOULEVARD, SUITE 500, WORCESTER, MA 01608-1209
(508) 753-2489
(508) 795-3892
Mailing address
100 MLK JR BLVD, SUITE 500, WORCESTER, MA 01608-1209
(508) 753-2489
(508) 795-3892
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/27/2006
Last updated
11/13/2015
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