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Individual

CHERYL L BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 853-8593
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 853-8593

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
3760
MA
124Q00000X
Dental Hygienist
Primary
DH3760
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1301071
GROUP #
MA
Enumeration date
09/14/2007
Last updated
12/21/2011
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