Individual
GEORGE ROBERT DITOMASSI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1795 MAIN STREET, SUITE 206, SPRINGFIELD, MA 01103-1077
(413) 733-6576
(413) 731-8655
Mailing address
1795 MAIN STREET, SUITE 206, SPRINGFIELD, MA 01103-1077
(413) 733-6576
(413) 731-8655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16805
MA
1223G0001X
General Practice Dentistry
23130-875
WI
Other
Enumeration date
07/16/2006
Last updated
09/21/2022
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