Organization
DENTISTRY BY NITA GAMPA, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITA GAMPA DMD (PRESIDENT)
(774) 287-2669
Entity
Organization
Contact information
Practice address
67 HIGHLAND ST, UNIT 1, WORCESTER, MA 01609-2734
(508) 755-9394
Mailing address
67 HIGHLAND ST, UNIT 1, WORCESTER, MA 01609-2734
(508) 755-9394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19799
MA
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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