Organization
PEDIATRIC DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PACHELLO (PRESIDENT CHIEF REVENUE OFFICER)
(720) 475-6482
Entity
Organization
Contact information
Practice address
116 MAIN ST, SUITE1, MARLBOROUGH, MA 01752-3811
(508) 485-2001
(508) 485-2201
Mailing address
116 MAIN ST, SUITE1, MARLBOROUGH, MA 01752-3811
(508) 485-2001
(508) 485-2201
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12581
MA
Other
Enumeration date
06/13/2011
Last updated
01/28/2026
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