DR. Kelly Ann Scanlon-Chase, D.M.D.

NPI #1073737748 in Wilbraham, Massachusetts

Provider Information

NPI Number: 1073737748
Entity Type: Individual
Name: DR. Kelly Ann Scanlon-Chase, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Apr 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2377 BOSTON RD
Address 2: SUITE 103
City: Wilbraham
State: Massachusetts
ZIP Code: 01095-1254
Phone: (413) 596-6444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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