David John Vanderboom, DMD

NPI #1295867992 in Chicopee, Massachusetts

Provider Information

NPI Number: 1295867992
Entity Type: Individual
Name: David John Vanderboom, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1146 MEMORIAL DR
City: Chicopee
State: Massachusetts
ZIP Code: 01020-3960
Phone: (413) 593-8904

Specialties & Taxonomy Codes

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

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