Organization
NEDG-NECC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LACLAIR (DIRECTOR OF OPERATIONS)
(508) 281-6464
Entity
Organization
Contact information
Practice address
33 TURNPIKE RD, SOUTHBOROUGH, MA 01772-2108
(508) 281-6464
Mailing address
257 TURNPIKE RD STE 110, SOUTHBOROUGH, MA 01772-1791
(508) 281-6464
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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