WESTERN MASS PERIODONTICS PC

AVON, CT
NPI1467085407
Former Legal Business NameAKRAM E. RAFLA
Entity TypeOrganization
Authorized ContactLEAH ANN MAYLOTT
Credentialing Administrator
860-874-8198
Organization Subpart ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
Enumeration Date2020-02-18
Last Update Date2022-01-18
Business Address
WESTERN MASS PERIODONTICS PC
20 W AVON RD STE 101
AVON, CT 06001-3677
Phone number: 860-673-0451
Mailing Address
WESTERN MASS PERIODONTICS PC
65 ELM ST
WORCESTER, MA 01609-2547
Phone number: