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Organization

MARLBOROUGH DENTAL SPECIALTIES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TODD PACHELLO (CHIEF REVENUE OFFICER)
(720) 475-6482
Entity
Organization

Contact information

Practice address
544 SOUTHBRIDGE ST, WORCESTER, MA 01610-1757
(774) 374-2327
(774) 374-2328
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 872-3072

Taxonomy

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

Other

Enumeration date
02/03/2021
Last updated
03/11/2026
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