Individual
JOHN GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
591 MEMORIAL DR STE 4, CHICOPEE, MA 01020-5033
(857) 320-7804
Mailing address
204 ARSENAL ST APT 119, WATERTOWN, MA 02472-2787
(857) 320-7804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL10632
MA
Other
Enumeration date
06/30/2009
Last updated
10/08/2018
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