Boulder Brook Dental, LLC
NPI #1053350470 in Ludlow, Massachusetts
Provider Information
- NPI Number
- 1053350470
- Entity Type
- Organization
- Organization Name
- Boulder Brook Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 104 DOWD CT
- City
- Ludlow
- State
- Massachusetts
- ZIP Code
- 01056-1743
- Phone
- (413) 547-8085
Authorized Official
- Name
- DR. KELLY A CHASE, D.M.D
- Title
- MBR/OWNER
- Phone
- (413) 547-8085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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