Organization
BRIGHT DEBTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYAKI CHIRUMAMILLA (PRESIDENT)
(214) 336-9767
Entity
Organization
Contact information
Practice address
1795 MAIN ST, SUITE 203, SPRINGFIELD, MA 01103-1077
(413) 737-9548
Mailing address
1795 MAIN ST, SUITE 203, SPRINGFIELD, MA 01103-1077
(413) 737-9548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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