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Organization
MAPLE STREET DENTAL PLLC
Active
Organization
MAPLE STREET DENTAL PLLC
Active
Other names
Longmeadow Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH EICHENLAUB DMD (PRESIDENT)
(617) 515-2949
Entity
Organization
Contact information
Practice address
813 WILLIAMS ST STE 207, LONGMEADOW, MA 01106-2052
(413) 567-1223
Mailing address
5 CAMPUS LN, EASTHAMPTON, MA 01027-1429
(617) 515-2949
(413) 527-1242
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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