Organization
GRACE FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARJEET MUNDRA DMD (OWNER)
(508) 425-7180
Entity
Organization
Contact information
Practice address
16 PARK AVE, WORCESTER, MA 01605-3911
(508) 425-7180
Mailing address
16 PARK AVE, WORCESTER, MA 01605-3911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21183
MA
Other
Enumeration date
11/15/2009
Last updated
11/15/2009
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