Dental Studio Associates, LLC
NPI #1093871469 in Agawam, Massachusetts
Provider Information
- NPI Number
- 1093871469
- Entity Type
- Organization
- Organization Name
- Dental Studio Associates, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Dec 28, 2012
Practice Location
- Address
- 302 SUFFIELD ST
- City
- Agawam
- State
- Massachusetts
- ZIP Code
- 01001-1749
- Phone
- (413) 786-0085
Authorized Official
- Name
- MRS. JENNIFER LYNN BOUTET
- Title
- OFFICE MANAGER
- Phone
- (413) 786-0085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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