Individual
DR. PHILIP J CABRERA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., F.R.C.D. (C)
Contact information
Practice address
255 PARK AVE, SUITE 1020, WORCESTER, MA 01609-1953
(508) 792-4290
(508) 792-0295
Mailing address
255 PARK AVE, SUITE 1020, WORCESTER, MA 01609-1953
(508) 792-4290
(508) 792-0295
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
20003
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-12-0000
—
MA
01
—
20003
STATE LICENSE NUMBER
MA
Enumeration date
10/27/2005
Last updated
07/08/2007
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