Individual
MRS. THERESA SMITH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
230 MAPLE ST STE 1, HOLYOKE, MA 01040-5140
(413) 420-2200
Mailing address
521 CHAPIN ST, LUDLOW, MA 01056-1476
(413) 575-7019
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH100229
MA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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