Organization
ST.JOSEPH'S FAMILY DENTAL,LLC
Active
Parent organization
ST.JOSEPH'S FAMILY DENTAL,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST.JOSEPH'S FAMILY DENTAL,LLC
Authorized official
DR. SUSANA R AGUERO D.D.S. (DENTIST)
(413) 737-3181
Entity
Organization
Contact information
Practice address
258 MAIN ST, WEST SPRINGFIELD, MA 01089-3955
(413) 737-3181
(413) 737-3184
Mailing address
258 MAIN ST, WEST SPRINGFIELD, MA 01089-3955
(413) 737-3181
(413) 737-3184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21492
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110076716B
—
MA
Enumeration date
11/11/2009
Last updated
11/11/2009
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