Organization
ARENA FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E LEO WHITWORTH JR. (DOCTOR)
(781) 400-5920
Entity
Organization
Contact information
Practice address
1049 MAIN ST, WORCESTER, MA 01603-2485
(781) 400-5920
Mailing address
220 RESERVOIR ST STE 9, NEEDHAM, MA 02494-3133
(781) 400-5920
(781) 400-5924
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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