Individual
DR. LISA MARIE GIARRUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
27-29 MECHANIC ST, SUITE 230 MECHANICS PLACE, WORCESTER, MA 01608-2414
(508) 753-2489
(508) 795-3892
Mailing address
27-29 MECHANIC ST, SUITE 230 MECHANICS PLACE, WORCESTER, MA 01608-2414
(508) 753-2489
(508) 795-3892
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17729
MA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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