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Organization

DENTEK DENTISTRY PC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHAI T BUI (DENTIST)
(413) 781-0598
Entity
Organization

Contact information

Practice address
302 SUMNER AVE, SPRINGFIELD, MA 01108-2329
(413) 781-0598
Mailing address
302 SUMNER AVE, SPRINGFIELD, MA 01108-2329
(413) 781-0598

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19773
MA

Other

Enumeration date
09/28/2009
Last updated
09/28/2009
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