| NPI | 1245402577 |
|---|---|
| Doing Business As | WORCESTER KIDS' DENTIST |
| Entity Type | Organization |
| Authorized Contact | CHENGETO M. VERA Member 508-754-9825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21437) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |