Organization
CHILDREN'S DENTISTRY OF CHICOPEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTHOSH VEERANNA DDS (OWNER)
(617) 818-6959
Entity
Organization
Contact information
Practice address
21 BAY STATE RD, CHICOPEE, MA 01020
(617) 818-6959
Mailing address
21 BAY STATE RD, CHICOPEE, MA 01020
(617) 818-6959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
01/28/2015
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