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Organization

UNIVERSITY DENTAL GROUP PC

Active
Other names
Buonomo Candela Mercadante Savage & Ursoleo PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN PAUL BISCEGLIA DMD (PRESIDENT)
(508) 753-1911
Entity
Organization

Contact information

Practice address
330 PLANTATION STREET, WORCESTER, MA 01604
(508) 753-1911
(508) 753-1837
Mailing address
330 PLANTATION STREET, WORCESTER, MA 01604
(508) 753-1911
(508) 753-1837

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00236
DELTA DENTAL
MA
01
77236
DELTA DENTAL
MA
01
X10254
B CROSS BLUE SHIELD
MA
Enumeration date
09/28/2006
Last updated
08/22/2020
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