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Individual

PAUL ROSS VIRGADAMO SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
96 WORCESTER ROAD, WEBSTER, MA 01570
(508) 943-2300
(508) 949-3981
Mailing address
POB 868, 96 WORCESTER ROAD, WEBSTER, MA 01570
(508) 943-2300
(508) 949-3981

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11988
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0243124
MA
Enumeration date
07/27/2006
Last updated
07/08/2007
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