Riverside Dental LLC
NPI #1689012361 in West Springfield, Massachusetts
Provider Information
- NPI Number
- 1689012361
- Entity Type
- Organization
- Organization Name
- Riverside Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 4, 2013
- Last Updated
- Mar 30, 2015
Practice Location
- Address
- 235B MEMORIAL AVENUE
- City
- West Springfield
- State
- Massachusetts
- ZIP Code
- 01028-2846
- Phone
- (603) 738-6808
Authorized Official
- Name
- CHANDRA MOHAN MANISH, DMD
- Title
- OWNER
- Phone
- (603) 738-6808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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