Advance Dental, PC

NPI #1568853612 in Springfield, Massachusetts

Provider Information

NPI Number: 1568853612
Entity Type: Organization
Organization Name: Advance Dental, PC
Primary Specialty: Dentist
Enumeration Date: Feb 11, 2015
Last Updated: Feb 11, 2015

Practice Location

Address: 1795 MAIN ST
Address 2: 206
City: Springfield
State: Massachusetts
ZIP Code: 01103-1077
Phone: (413) 733-6576

Authorized Official

Name: NAYAKI CHIRUMAMILLA, DMD
Title: PRESIDENT
Phone: (214) 336-9767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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