Organization
CHILDREN'S DENTISTRY AND ORTHODONTICS OF CHICOPEE 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
21 BAY STATE RD, CHICOPEE, MA 01020-1521
(413) 437-8300
Mailing address
21 BAY STATE RD, CHICOPEE, MA 01020-1521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/09/2022
Last updated
04/09/2022
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