Individual
MAI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7990
Mailing address
260 WACHUSETT ST, HOLDEN, MA 01520-1852
(508) 860-7910
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH13684
MA
Other
Enumeration date
12/20/2012
Last updated
12/21/2012
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