Organization
WORCESTER ORTHODONTICS, PC
Active
Other names
Super Braces
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSSAM ALKHOURY DMD (PRESIDENT/OWNER)
(508) 755-2207
Entity
Organization
Contact information
Practice address
10 WINTHROP ST, #217, WORCESTER, MA 01604-4435
(508) 755-2207
Mailing address
10 WINTHROP ST, #217, WORCESTER, MA 01604-4435
(508) 755-2207
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
MA20511
MA
Other
Enumeration date
05/29/2009
Last updated
05/17/2021
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