Individual
DINARA SUYUNCHALIEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 RIVERDALE ST, WEST SPRINGFIELD, MA 01089-4656
(413) 737-1800
Mailing address
935 RIVERDALE ST, WEST SPRINGFIELD, MA 01089-4656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858969
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2020
Last updated
05/17/2021
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