Individual
DR. MATTHEW D MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
490 LINCOLN ST, WORCESTER, MA 01605-1936
(508) 869-4425
Mailing address
490 LINCOLN ST, WORCESTER, MA 01605-1936
(508) 869-4425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857229
MA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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