Individual
DR. CHRISTOPHER ROBERT DESESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
75 VAN DEENE AVE, SUITE 201, WEST SPRINGFIELD, MA 01089-3258
(413) 788-9621
(413) 788-0103
Mailing address
75 VAN DEENE AVE, SUITE 201, WEST SPRINGFIELD, MA 01089-3258
(413) 788-9621
(413) 788-0103
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
011521
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1856824
MA
Other
Enumeration date
06/23/2011
Last updated
09/23/2020
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