Individual
MEGHAN ABIGAIL KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 BROAD ST, WESTFIELD, MA 01085-2999
(413) 420-2222
Mailing address
76 PEQUOT POINT RD, WESTFIELD, MA 01085-5114
(508) 505-0718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858384
MA
Other
Enumeration date
04/04/2019
Last updated
07/21/2020
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