Commonwealth Periodontics | |
48 Elm St Worcester MA 01609-2541 | |
(150) 875-4122 | |
(508) 754-9378 |
Full Name | Commonwealth Periodontics |
---|---|
Speciality | Dentist - Periodontics |
Location | 48 Elm St, Worcester, Massachusetts |
Authorized Official Name and Position | Susan Marie Depatie (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 5087541122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Commonwealth Periodontics 48 Elm St Worcester MA 01609-2541 Ph: (150) 875-4122 | Commonwealth Periodontics 48 Elm St Worcester MA 01609-2541 Ph: (150) 875-4122 |
NPI Number | 1023425808 |
---|---|
Provider Enumeration Date | 07/14/2014 |
Last Update Date | 07/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023425808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 20952 (Massachusetts) | Primary |
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