Organization
MITESH G BRAHMBHATT DMD PC
Active
Other names
OUR DENTIST
Organization subpart
No
Provider details
NPI number
Authorized official
MITESH BRAHMBHATT (PRESIDENT)
(617) 777-4795
Entity
Organization
Contact information
Practice address
747 MEMORIAL DR., CHICOPEE, MA 01020
(413) 592-7700
Mailing address
305 DUTTON ST, APT # 326, LOWELL, MA 01854-4263
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN22114
MA
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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