Organization
GREENDALE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY MARK GROLMAN D.D.S. (OWNER)
(508) 852-6616
Entity
Organization
Contact information
Practice address
500 W BOYLSTON ST, WORCESTER, MA 01606-2058
(508) 852-6616
(508) 854-1037
Mailing address
500 W BOYLSTON ST, WORCESTER, MA 01606-2058
(508) 852-6616
(508) 854-1037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16451
MA
Other
Enumeration date
04/17/2007
Last updated
02/07/2012
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