Individual
DR. ANGEL IDICULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MDS, DMD
Contact information
Practice address
126 UNION ST, MARLBOROUGH, MA 01752-1207
(508) 251-6122
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 861-2258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000867
MA
Other
Enumeration date
03/29/2024
Last updated
08/07/2025
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