Organization
SUPER DENTAL OF WORCESTER PLLC
Active
Other names
Community Dentists of Worcester
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE HODGERNEY (CREDENTIALING)
(508) 589-8270
Entity
Organization
Contact information
Practice address
227 RUSSELL ST, WORCESTER, MA 01602-2126
(508) 589-8270
Mailing address
227 RUSSELL ST, WORCESTER, MA 01602-2126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/24/2022
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