64 Highland Dental

NPI 1508195140 - Dentist - 1223G0001X

NPI Details
NPI 1508195140
Enumeration Date 12/10/2009
Last Updated 05/11/2015
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOHN JOHN
Position OWNER
Phone (508) 926-8660
Fax (508) 426-8667
Practice Location
64 HIGHLAND STREET
WORCESTER MA, 01609, US
Phone (508) 926-8660
Fax (508) 426-8667
Business Location
64 HIGHLAND STREET
WORCESTER MA, 01609, US
Phone (508) 926-8660
Fax (508) 926-8667
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 20028
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According to our database, 64 Highland Dental NPI is 1508195140, taxonomy code is 1223G0001X and license number is 20028, license state is located at Massachusetts. 64 Highland Dental physically located at 64 Highland Street, Worcester MA, 01609. NPI Number 1033115704 has the healthcare provider type.

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1508195140 NPI number is provided on an as is basis without warranty of any kind. 1508195140 is maintained by the National Plan & Provider Enumeration System. The contents of 64 Highland Dental are for informational purposes only.