Individual
TARUNJEET PABLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
290 PARK AVE, WORCESTER, MA 01609-1805
(508) 798-9040
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22186
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22186
STATE DENTAL LICENSE
MA
Enumeration date
07/27/2008
Last updated
12/29/2010
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