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Individual

DR. LAURIE MANTHOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
200 LINCOLN ST, SUITE 1, WORCESTER, MA 01605-2528
(508) 752-2100
(508) 752-0304
Mailing address
200 LINCOLN ST, SUITE 1, WORCESTER, MA 01605-2528
(508) 752-2100
(508) 752-0304

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16823
MA

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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