Individual
DR. STEPHEN WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
255 PARK AVE, SUITE 904, WORCESTER, MA 01609-1953
(508) 792-9010
Mailing address
8 SAXON RD, WORCESTER, MA 01602-1522
(508) 615-7200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11549
MA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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