Individual
DR. MICHAEL ROBERT PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
164 ELM ST, FITCHBURG, MA 01420-3135
(978) 345-5563
(978) 345-5563
Mailing address
164 ELM ST, FITCHBURG, MA 01420-3135
(978) 345-5563
(978) 345-5563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13636
MA
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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