| Full Name | Dtc Dental Care Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 15 Salem St, Worcester, Massachusetts |
| Authorized Official Name and Position | John Lee Miller (ENDODONTIST) |
| Authorized Official Contact | 6178944220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtc Dental Care Inc 52 St Ives Way 31 Marlborough MA 01752-5915 Ph: (508) 667-6571 | Dtc Dental Care Inc 15 Salem St Worcester MA 01608 Ph: (508) 667-6571 |
| NPI Number | 1023315678 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 02/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023315678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 21541 (Massachusetts) | Primary |
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