Hampden County Oral Surgery Pllc
NPI #1578270039 in Southwick, Massachusetts
Provider Information
- NPI Number
- 1578270039
- Entity Type
- Organization
- Organization Name
- Hampden County Oral Surgery Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 3, 2022
- Last Updated
- May 11, 2023
Practice Location
- Address
- 664 COLLEGE HWY
- City
- Southwick
- State
- Massachusetts
- ZIP Code
- 01077-9260
- Phone
- (413) 642-5250
Authorized Official
- Name
- DR. JONATHAN CHARLES SUDOL, DMD
- Title
- OWNER
- Phone
- (413) 642-5250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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