Individual
AMBEREEN FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
26 QUEEN ST, DENTAL DEPT, 3RD FLOOR, WORCESTER, MA 01610-2473
(508) 860-7910
(508) 860-7774
Mailing address
26 QUEEN ST, DENTAL DEPT, 3RD FLOOR, WORCESTER, MA 01610-2473
(508) 860-7910
(508) 860-7774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856412
MA
Other
Enumeration date
08/06/2013
Last updated
12/01/2015
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