WESTERN MASS PERIODONTICS PC

CROMWELL, CT
NPI1952052235
Entity TypeOrganization
Authorized ContactLEAH ANN MAYLOTT
Credentialing Administrator
860-874-8198
Organization Subpart ?Yes
Primary Taxonomy1223P0300X Dentist Periodontics
Enumeration Date2022-01-18
Last Update Date2022-01-18
Business Address
WESTERN MASS PERIODONTICS PC
75 BERLIN RD STE 108
CROMWELL, CT 06416-2633
Phone number: 860-635-1515
Mailing Address
WESTERN MASS PERIODONTICS PC
65 ELM ST
WORCESTER, MA 01609-2547
Phone number: 860-874-8198
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