Organization
CENTRAL MA ORTHODONTIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE GIARRUSSO DMD (ORTHODONTIST, TREASURER, OWNER)
(508) 832-5776
Entity
Organization
Contact information
Practice address
325 SOUTHBRIDGE ST, AUBURN, MA 01501-2595
(508) 823-5776
(508) 832-3066
Mailing address
325 SOUTHBRIDGE STREET, AUBURN, MA 01501-2585
(508) 823-5776
(508) 832-3066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17729
MA
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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