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Organization
MATTHEWS PCC LLC
Active
Organization
MATTHEWS PCC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MATTHEWS D.M.D (OWNER)
(413) 737-2200
Entity
Organization
Contact information
Practice address
1984 BOSTON RD, WILBRAHAM, MA 01095-1046
(413) 737-2200
Mailing address
68 BAIRDCREST RD, SPRINGFIELD, MA 01118-1757
(413) 783-3621
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856880
MA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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