Chicopee Family Dental, LLC

NPI #1417350158 in Chicopee, Massachusetts

Provider Information

NPI Number: 1417350158
Entity Type: Organization
Organization Name: Chicopee Family Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Oct 8, 2014
Last Updated: Oct 8, 2014

Practice Location

Address: 30 SAINT JAMES AVE
City: Chicopee
State: Massachusetts
ZIP Code: 01020-2453
Phone: (413) 592-2177

Authorized Official

Name: MICHELLE M CORMIER
Title: OFFICE MANAGER
Phone: (413) 592-2177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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