Individual
MAREEN E GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
290 PARK AVE, WORCESTER, MA 01609-1805
(508) 798-9040
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
(615) 750-0343
(615) 986-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20315
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110008489A
—
MA
Enumeration date
01/05/2007
Last updated
11/22/2013
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