Individual
DR. THEODORE ANTHONY MIDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5 CAMPUS LN, EASTHAMPTON, MA 01027-1429
(413) 527-2330
(413) 527-1242
Mailing address
11 JONATHAN JUDD CIR, SOUTHAMPTON, MA 01073-9491
(413) 527-5519
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12553
MA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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