Organization
TRIDENT DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINAY BATTULA DMD (DENTIST)
(508) 556-0609
Entity
Organization
Contact information
Practice address
16 PARK AVE, WORCESTER, MA 01605-3911
(508) 556-0609
Mailing address
16 PARK AVE, WORCESTER, MA 01605-3911
(508) 556-0609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855826
MA
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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