| Premier Family Dental Group, P.c. | |
|
610 W Boylston St Worcester MA 01606-2030 | |
| (508) 853-3394 | |
| (508) 853-6842 |
| Full Name | Premier Family Dental Group, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 610 W Boylston St, Worcester, Massachusetts |
| Authorized Official Name and Position | Galina Bamford (OWNER) |
| Authorized Official Contact | 5088533394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Dental Group, P.c. 610 W Boylston St Worcester MA 01606-2030 Ph: (508) 853-3394 | Premier Family Dental Group, P.c. 610 W Boylston St Worcester MA 01606-2030 Ph: (508) 853-3394 |
| NPI Number | 1598876625 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598876625 | NPI | - | NPPES |
| 9719008 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20013 (Massachusetts) | Primary |
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