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Individual

KIRAN SANJAY NAIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
200 HIGH ST, CLINTON, MA 01510
(978) 368-0340
(978) 368-1719
Mailing address
650 LINCOLN ST, WORCESTER, MA 01605-2060
(508) 854-2122

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DL12367
MA
1223G0001X
General Practice Dentistry
Primary
DL13561
MA

Other

Enumeration date
07/24/2007
Last updated
10/04/2018
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