Organization
MPGT CORP
Active
Other names
NEW ENGLAND DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOKULAN THIAGARAJAH (VICE-PRESIDENT)
(508) 485-1114
Entity
Organization
Contact information
Practice address
661 BOSTON POST RD E STE C, MARLBOROUGH, MA 01752-3732
(508) 485-1114
(508) 480-8434
Mailing address
661C BOSTON POST RD E, MARLBOROUGH, MA 01752-3732
(508) 485-1114
(508) 480-8434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18683
MA
Other
Enumeration date
01/17/2007
Last updated
06/29/2022
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