Organization
WORCESTER PEDIATRIC DENTAL GROUP LLC
Active
Other names
Worcester Kids' Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHENGETO M. VERA DMD, MPH (MEMBER)
(508) 754-9825
Entity
Organization
Contact information
Practice address
144 PLEASANT ST, WORCESTER, MA 01609-3208
(508) 754-9825
(508) 754-9898
Mailing address
144 PLEASANT ST, WORCESTER, MA 01609-3208
(508) 754-9825
(508) 754-9898
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21437
MA
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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