Individual
TERRANCE MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
715 PLEASANT ST, WORCESTER, MA 01602-1904
(508) 754-0918
Mailing address
715 PLEASANT ST, WORCESTER, MA 01602-1904
(508) 754-0918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14022
MA
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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