St.joseph's Family Dental,llc

NPI #1104154780 in Ludlow, Massachusetts

Provider Information

NPI Number: 1104154780
Entity Type: Organization
Organization Name: St.joseph's Family Dental,llc
Subpart: Yes (part of a larger organization)
Parent Organization: ST.JOSEPH'S FAMILY DENTAL, LLC
Primary Specialty: Dentist
Enumeration Date: Nov 19, 2009
Last Updated: Nov 19, 2009

Practice Location

Address: 548 CHAPIN ST
City: Ludlow
State: Massachusetts
ZIP Code: 01056-2524
Phone: (413) 887-8318

Authorized Official

Name: DR. SUSANA R AGUERO, D.D.S.
Title: DENTIST
Phone: (413) 737-3181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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