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Organization
WILBRAHAM DENTAL ASSOCIATES, LLC
Active
Organization
WILBRAHAM DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JAMES ROOT DMD FAGD (DENTIST/OWNER)
(413) 279-2016
Entity
Organization
Contact information
Practice address
70 POST OFFICE PARK, WILBRAHAM, MA 01095-1290
(413) 279-2016
Mailing address
70 POST OFFICE PARK, WILBRAHAM, MA 01095-1290
(413) 279-2016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21246
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110110523A
—
MA
Enumeration date
08/29/2016
Last updated
08/29/2016
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