Crompton Park Oral Surgery And Implant Associates, Llp | |
59 Quinsigamond Ave Worcester MA 01610-1806 | |
(508) 799-2550 | |
Not Available |
Full Name | Crompton Park Oral Surgery And Implant Associates, Llp |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 59 Quinsigamond Ave, Worcester, Massachusetts |
Authorized Official Name and Position | W David Kelly (MEMBER) |
Authorized Official Contact | 5087992550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crompton Park Oral Surgery And Implant Associates, Llp 59 Quinsigamond Ave Worcester MA 01610-1806 Ph: (508) 799-2550 | Crompton Park Oral Surgery And Implant Associates, Llp 59 Quinsigamond Ave Worcester MA 01610-1806 Ph: (508) 799-2550 |
NPI Number | 1093998387 |
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Provider Enumeration Date | 12/10/2007 |
Last Update Date | 12/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093998387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12222 (Massachusetts) | Primary |
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