Organization
NEIGHBORHOOD DENTAL GROUP, PC
Active
Other names
Common Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M GIAIMO (MANAGER)
(617) 291-2773
Entity
Organization
Contact information
Practice address
111 ELM ST SUITE 203, WORCESTER, MA 01609
(508) 502-7894
Mailing address
111 ELM ST SUITE 203, WORCESTER, MA 01609
(508) 502-7894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21851
MA
Other
Enumeration date
08/14/2014
Last updated
11/02/2016
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