Individual
ESTUARDO JOSE OSORIO MORATAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
Mailing address
32203 CAROUSEL LN APT 203, LUNENBURG, MA 01462-2444
(346) 323-0915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL100127
MA
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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