Individual
DR. ANDRE DONALD ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 PINEHURST RD, HOLYOKE, MA 01040-2217
(413) 534-4033
(413) 532-5509
Mailing address
101 PINEHURST RD, HOLYOKE, MA 01040-2217
(413) 534-4033
(413) 532-5509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16531
MA
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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