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Organization

STEPHEN WAXMAN DMD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN WAXMAN (DMD)
(508) 755-1980
Entity
Organization

Contact information

Practice address
255 PARK AVE, SUITE 904, WORCESTER, MA 01609-1953
(508) 755-1980
Mailing address
255 PARK AVE, SUITE 904, WORCESTER, MA 01609-1953

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11549
MA

Other

Enumeration date
11/22/2011
Last updated
11/22/2011
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