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Oral Surgery, Dental Specialists

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CHERYL L BIRD RDH

Dental Hygienist

Worcester, Massachusetts

Provider NPI: 1780879593

Provider Information:
 CHERYL L BIRD RDH
Gender: F
Not Sole Proprietor

Practice Location:
19 TACOMA ST  WORCESTER, MA 01605 US
Tel: 508-852-1805  Fax: 508-853-8593

Business Mailing Address:
19 TACOMA ST  WORCESTER, MA 01605 US
Tel: 508-852-1805  Fax: 508-853-8593

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N124Q00000XDental Providers
Dental Hygienist
MA3760
Y124Q00000XDental Providers
Dental Hygienist
MADH3760

Other Provider Identifiers:

IssuerNumberStateType
GROUP #1301071MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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