Organization
KD ORTHODONTICS P.C.
Active
Parent organization
THE KIDS DENTIST, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE KIDS DENTIST, INC.
Authorized official
DR. ROBERT L MATTHEWS DMD (OWNER)
(413) 737-2200
Entity
Organization
Contact information
Practice address
232 PARK ST, WEST SPRINGFIELD, MA 01089-3314
(413) 737-2200
Mailing address
232 PARK ST, WEST SPRINGFIELD, MA 01089-3314
(413) 737-2200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19482
MA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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