Individual
JAMES VICTOR GAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 PARK AVE, WORCESTER, MA 01609-1720
(508) 754-9155
(508) 752-0909
Mailing address
32 PARK AVE, WORCESTER, MA 01609-1720
(508) 754-9155
(508) 752-0909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14548
MA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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