H Martin Deranian DDS

NPI 1003833500 - Dentist - 1223G0001X

NPI Details
NPI 1003833500
Gender Male
Enumeration Date 07/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
390 MAIN ST
SUITE 315
WORCESTER MA, 01608-2583, US
Phone (508) 754-4362
Fax (508) 791-7007
Business Location
390 MAIN ST
SUITE 315
WORCESTER MA, 01608-2583, US
Phone (508) 754-4362
Fax (508) 791-7007
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 7768
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According to our database, Dr. H Martin Deranian DDS NPI is 1003833500, taxonomy code is 1223G0001X and license number is 7768, license state is located at Massachusetts. H Martin Deranian DDS physically located at 390 Main St, Worcester MA, 01608-2583. NPI Number H Martin Deranian DDS has the Individual type.

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1003833500 NPI number is provided on an as is basis without warranty of any kind. 1003833500 is maintained by the National Plan & Provider Enumeration System. The contents of H Martin Deranian DDS are for informational purposes only.