Organization
PLEASANT STREET DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEENAKSHY YEGNESWARAN DMD (DENTIST)
(508) 752-2485
Entity
Organization
Contact information
Practice address
101 PLEASANT ST, SUITE 201, WORCESTER, MA 01609-3213
(508) 752-2485
(508) 752-3406
Mailing address
101 PLEASANT ST, SUITE 201, WORCESTER, MA 01609-3213
(508) 752-2485
(508) 752-3406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19764
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750402327
TPYE 1 NPI
MA
Enumeration date
08/20/2013
Last updated
08/20/2013
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