Chicopee Family Dental PC

NPI #1588806152 in Chicopee, Massachusetts

Provider Information

NPI Number: 1588806152
Entity Type: Organization
Organization Name: Chicopee Family Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 29, 2009
Last Updated: Mar 29, 2009

Practice Location

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

Authorized Official

Name: AMMAR BASH, DMD
Title: DENTIST /PRESIDENT
Phone: (781) 526-5042

Specialties & Taxonomy Codes

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

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