Organization
GT & T ASSOCIATES INC
Active
Other names
PARK AVENUE DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOKULAN THIAGARAJAH (PRESIDENT)
(508) 485-1114
Entity
Organization
Contact information
Practice address
431B PARK AVE, WORCESTER, MA 01610-1335
(508) 799-4555
(508) 770-1990
Mailing address
431B PARK AVE, WORCESTER, MA 01610-1335
(508) 799-4555
(508) 770-1990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18683
MA
Other
Enumeration date
01/22/2007
Last updated
06/29/2022
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