Individual
DR. TRACI A PORTNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
65 W MAIN ST, WESTBOROUGH, MA 01581-2516
(508) 366-3623
Mailing address
16 HUCKLEBERRY RD, HOPKINTON, MA 01748-1055
(508) 544-1416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19517
MA
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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