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Organization

CHANDLER DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SIR HAO FOO D.D.S., M.S. (TREASURER & SECRETARY)
(508) 754-5226
Entity
Organization

Contact information

Practice address
372 CHANDLER ST, SUITE 10, WORCESTER, MA 01602-3300
(508) 754-5226
(508) 754-5228
Mailing address
372 CHANDLER ST, SUITE 10, WORCESTER, MA 01602-3300
(508) 754-5226
(508) 754-5228

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9754610
MA
Enumeration date
12/28/2006
Last updated
02/24/2008
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