Organization
CENTRAL MA ORTHODONITC ASSOCIATES, PC
Active
Parent organization
CENTRAL MA ORTHODONTIC ASSOCAITES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL MA ORTHODONTIC ASSOCAITES, PC
Authorized official
LISA MARIE GIARRUSSO D.M.D. (PRESIDENT,TREASURER CMOA, PC)
(508) 753-2489
Entity
Organization
Contact information
Practice address
276 MAIN ST, SPENCER, MA 01562-1838
(508) 885-2749
(508) 885-0907
Mailing address
276 MAIN ST, SPENCER, MA 01562-1838
(508) 885-2749
(508) 885-0907
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17729
MA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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